Settlement Order Form
Settlement type: Sale   Refinance
Requested Settlement Date: (mm/dd/yyy)
Property Information
Address:
County:
City:
State:
Zip:
Borrower Information
Borrower Name: *
Co-Borrower Name:
Mailing Address:
City:
State:
Zip:
Borrower Social Security Number: - -
Borrower Home Phone Number: *
Borrower Work Phone Number:
Loan Information
Loan Amount: $
Type of Loan: Conventional FHA VA
Service Type: Regular Rush
Mortgage Type: 1st 2nd 3rd
Seller Home Phone Number:
Seller Work Phone Number:
   
Lender Phone Number:
Lender Address: (for insured closing protection letter)
Lender City:
Lender State:
Broker Name:
Broker Number:
Processor Name:
   
Existing First Lender
Account Number:
Phone Number:
   
Existing Second Lender:
Account Number:
Phone Number:
   
Office for case referral: Silver Spring Largo
   
Who would you like to refer this case to: (if known) Ralph A. Bernardo
Jim Gittens
Kito Bradford
Andrea Bernardo
Other:
Unknown