Financial Funders Unlimited

INSTRUCTIONS: PLEASE COMPLETE ALL SECTIONS SO WE MAY PROVIDE AN ACCURATE QUOTE FOR FUNDING.

BROKER INFORMATION

NAME OF COMPANY *

BROKER #: *

PHONE

ADDRESS

CITY/STATE/ZIP CODE

PHONE *

MORTGAGE INFORMATION (PARTY RECEIVING PAYMENTS - YOUR CLIENT

MORTGAGOR NAME *

SPOUSE'S NAME

RESIDENCE ADDRESS *

CITY/STATE/ZIP *

PHONE *

SPOUSE'S ADDRESS

CITY/STATE/ZIP *

PHONE

MORTGAGE INFORMATION (PARTY MAKING PAYMENTS)

MORTGAGOR NAME *

SOCIAL SECURITY NUMBER *

PHONE *

RESIDENCE ADDRESS *

CITY/STATE/ZIP *

SPOUSE'S NAME

SOCIAL SECURITY NUMBER

PHONE

OCCUPATION *

HOW LONG? *

BUSINESS PHONE *

SPOUSE'S OCCUPATION

HOW LONG?

BUSINESS PHONE

BANK *

CHECKING #

SAVINGS #

ADDRESS *

CITY/STATE/ZIP *

INFORMATION ON SUBJECT PROPERTY

PROPERTY ADDRESS *

CITY/STATE/ZIP *

SALE PRICE *

CASE DOWN *

*2ND MORTGAGE INFO*

ORIGINAL 1ST MORTGAGE AMOUNT *

RATE *

ORIGINAL # MONTHS *

PAYMENTS *

ORIGINAL 2ND MORTGAGE AMOUNT *

RATE *

ORIGINAL # MONTHS *

PAYMENTS *

BALLOON? *

AMOUNT *

PMT # BALLOON DUE *

WITH WHOM *

ACCOUNT# *

ADDRESS *

CITY/STATE/ZIP *

# MONTHS REMAINING *

# MONTHS TILL BALLOON *

NAME OF FIRE INSURANCE COMPANY *

AGENT *

PHONE *

ADDRESS *

CITY/STATE/ZIP *

AMOUNT $ *

INCEPTION *

EXPIRATION *

LOSS PAYEE *

PROPERTY APPRAISAL INFORMATION

TYPE OF PROPERTY *

ESTIMATED VALUE $ *

BY WHOM? *

1ST MORTGAGE *

2ND MORTGAGE *

TOTAL LOANS $ *

LOAN TO VALUE RATIO % *

OFFICE USE ONLY

QUOTEBUY 1ST MORTGAGE PMTS *

QUOTEBUY 2ND MORTGAGE PMTS

QUOTEBUY 1ST MORTGAGE BALLOON

QUOTEBUY 2ND MORTGAGE BALLOON

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