Open ESCROW - REFINANCE Contact Information Name Email Phone Escrow Details County Select County Office Select Office Property Address Lender/Mortgage Broker Company Name Company Address Loan Officer Name Processor Name Contact Name Phone Fax Borrower Information Borrower(s) Mailing Address Home Phone Work Phone Loan Information Loan Amount $ Loan Type 1st 2nd Conv FHA VA Existing First Loan To be paid off To remain To subordinate First Lender Payoff Loan Number Phone Balance $ Existing Second Loan To be paid off To remain To subordinate Second Lender Payoff Loan Number Phone Balance $ Title Insurance Company Name Contact Name Phone Order Number (if opened) Lender Insurance Company Name Agent Name Premium Amount $ Expires Phone Other Information Notes Clear All SUBMIT
