* Required Information
 
 
Attn: *
Opened By: *
Email: *
Phone:
Fax:

Lender/Mortgage Company:
Address:
Phone:
Fax:
New Loan Amount: $
Type of Loan: First Second

Borrower:
Property Address:
Mailing Address (if different):
Work:
Home:
Cell:
Email:
His Social Security #:
Her Social Security #:

Title Company:
Title Officer:
Phone:
Fax:
Title Rep to credit:

Existing First Mortgage:
Loan No.:
Approx Bal.: $
Address:
Tele:

Existing Second Mortgage:
Loan No.:
Approx Bal.: $
Address:
Tele:

The information you have just supplied is sufficient to open escrow. We will contact you to obtain any additional information that may be required to process this escrow.
 
Thank you from the Staff of Southwest Escrow!