LAS OLAS MORTGAGE AND REFINANCE

WWW.THELENDINGCHEST.COM


Refinance
Purchase Equity Line of Credit

About Your Loan Program
Loan Program
Loan Purpose
30 Year Fixed 15 Year Fixed 5 Yr Balloon 7 Yr Balloon 1/1 ARM 3/1 ARM 5/1 ARM 7/1 ARM VA 30 Yr FHA 30 Yr FHA ARM Other/See Comments
Rate/Term Refinance Cash-Out Refi No Cash-Out Refi Second Mortgage Home Improvement Debt Consolidation Other/See Comments
Loan Amount ($) *
Property Value ($) *
Estimated Timeframe


< 30 Days 30-60 Days 60-90 Days Not Sure 120
Property Information
Property Type
- Single family Condo Commercial Investment Co-op Mobile Home Multi Family
Address *
City * State
Zip *

AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

Refinance Information
1st Mortgage Balance($)
1st Mortgage Payment($)
1st Mortgage Rate %
2nd Mortgage Balance($)
2nd Mortgage Payment($)
2nd Mortgage Rate %
Borrower Information
First Name *
Last Name *
Social Security Number


- -
Daytime Phone *
Evening Phone *
Email



Employment Information
Self Employed
Years Employed
Annual Income($)
no yes
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Income and Expense Information
Monthly Expenses($)
Credit History
Excellent Good Fair Poor
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