Steve D’Andrea

Contact Steve:
NMLS#: 134568
Phone: 800.793.9633 ext. 175
Email: sdandrea@emmloans.com

REQUEST REFINANCE INFORMATION

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Borrower and Property Information

Borrower Name*

Borrower Email Address*

Borrower Date of Birth*

Co-Borrower Name (optional)

Co-Borrower Date of Birth (optional)

Property Address*

City*

State*

Zip*

Residence Type*

Primary Phone*

Secondary Phone (optional)

Number of Years in Property*

Current Property Value*

1st Mortgage Information

First Mortgage Balance*

First Mortgage Rate*

First Mortgage Term*

First Mortgage Monthly Payment*

Does This Include Escrow?*

What do you pay in taxes per year?*

What do you pay for Homeowner\'s Insurance each year?*

First Mortgage Fixed or Variable*

2nd Mortgage Information (if applicable)

Second Mortgage Balance

Second Mortgage Rate

Second Mortgage Monthly Payment

Do You Want To Take Equity Out?*

If So, How Much Are You Hoping To Borrow?

Length of Mortgage Term Desired* (select all that apply)
 15-year 20-year 30-year Other Term

General Comments About Your Goals In A Refinance

Borrower Currently Employed?*

Borrower Annual Gross Salary*

Co-Borrower Currently Employed? (if applicable)

Co-Borrower Annual Gross Salary (if applicable)

Is There Anything Else I Should Know?