Secure Refinance Order Form

Surety Title Sevices of Florida
REFINANCE
Loan Amount
Approx. Closing Date
ORDERED BY:
Name
Phone
Fax
Contact
NEW LENDER
Name
Phone
Fax
Contact
Type of Loan
Fixed Rate   Variable Rate
Mail Away
Yes   No
BORROWER
Name
Address
City
State
Zip Code
Marital Status
Home Phone
Work Phone
Social Security #
   
PROPERTY ADDRESS
Address
City
State
Zip Code
SURVEY
Order New Survey
Yes   No
(If survey is available, please fax to 727.799.0109)
Who
PRIOR TITLE POLICY
Yes   No  (If you have the existing title policy, please fax it to 727.799.0109 )
   
EXISTING MORTGAGES TO BE PAID
   
ADDITIONAL DEBTS TO BE PAID AT CLOSING
ADDITIONAL NOTES OR INSTRUCTIONS