Client Information
Last Name:
First Name:
Middle initial:
Marital Status:
Married
single
divorced
Separated
Widowed
Email:
Home Phone Number:
Cell Phone Number:
Extension:
Work Phone Number:
1900
1901
1902
1903
1904
1905
1906
1907
1908
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1910
1911
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1914
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1980
1981
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1984
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1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
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1998
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2007
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02
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31
Year:
Date of Birth
Month:
01
02
03
04
05
06
07
08
09
10
11
12
Day:
What is your physical address(mailing address) ?
Is this your primary resident?
Yes
No
investment
second house
Rental
Other
Fax Number:
If you answered " No " to above question please provide the subject property address
What is your Social Security number?
Property Information
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
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1951
1952
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1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
When did the subject property built?
When did you Acquired subject property?
01
02
03
04
Commercial
More than 4
Single Family Resident
Town House
Condominium
PUD
Attached House
Mobile home
Multi Family Dwelling
Manufactured
Agricultiral
Other
Number of units?
What is the type of subject property?
When was the last time you appraised the subject property value?
01
02
03
04
05
06
07
08
09
10
11
12
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
M
Y
How much was the appraised value on last time?
What was the original price when you Acquired the subject property?
Latest Refinance
Apply for new loan
Because of Hard money Lender
Because we want to sell the house
Other
I Am Not Sure
What was the reason for this recent appraisal
Base on your best knowledge what is the fair market value today
Title Information
01
02
03
04
05
06
More
yes,just me by myself
yes,with my spouse
yes,with my spouse and other
No,just my spouse
Other
How many person is on the title?
Are you the owner?
Please list full name of all people and their relationship, if there is any (Remember if you are on the title you don't need to put your name again)
Fee Simple
Lease hold
Joint Tenancy
Tenancy In Common
Community property
I don't Know
Other
Title and Estate currently hold under?(you can choose more than one answers)
Loan Information
Just One
First and second
Three loans
I don't have any loan
Other
How many mortgages do you have?
First Mortgage
First loan amount
Payoff for the first loan(this is the amount would release the title if you pay your lender)
Fixed 30 years
Fixed 15 years
Adjustable but Fixed for First 2 years
Adjustable but Fixed for First 3 years
Interest Only
Pay Option Arm
Home Equity
Line of Credit
Other
I Am Not Sure
Name of lender or bank
Type of loan
How much is the first mortgage monthly payment (this is not include tax,insurance or all other loans)
Do you still have any prepayment penalty left?
No
Yes, less Than One Year
Yes, less Than Two Year
Yes, less Than Three Year
Other
I Am Not Sure
Second Mortgage
Second loan amount
Payoff for the second loan(this is the amount would release the title if you pay your lender)
Type of loan
Fixed 30 years
Fixed 15 years
Adjustable but Fixed for First 2 years
Adjustable but Fixed for First 3 years
Interest Only
Pay Option Arm
Home Equity
Line of Credit
Other
I Am Not Sure
Name of lender or bank
How much is the second mortgage monthly payment (this is not include tax,insurance or all other loans)
No
Yes, less Than One Year
Yes, less Than Two Year
Yes, less Than Three Year
Other
I Am Not Sure
Do you still have any prepayment penalty left?
If you have more than two mortgages please list all information on the box
Yes
No
Other
Do you have an impound account?
Monthly hazard insurance
Monthly tax charges
Home Owner Association
Monthly melrose
Are you behind your first or second loan?
yes, Both
Yes, Just first
Yes, Just Second
NO
Other
I Am Not Sure
If you have any Tax lien secured by (against) subject property please provide the total amount
Have you tried sale your property recently?
No
Yes,I still try to sale it by myself (FSO)
Yes,I tried to sale it by myself (FSO)
yes, I still have it under contract by a broker
Yes,I had it under contractby a broker
Other
Employment Information
What is you current job?
How much do you earn a year with your current job?
How much is your yearly household income? (this is include other family member earning and any other different type of income)
If you have currently an co applicant on existing loan or title of house under more than one person please check mark here then click on submit