| Personal Information |
| Last name |
First name
|
| Mailing address |
|
| City |
State
|
| Zip |
E-mail
|
| Daytime telephone |
(
)
-
Evening or cell telephone (
)
-
|
| Current Loan Information |
|
1. Have you refinanced
this property before?
|
No
Yes |
2. Original closing date
(Month & Year)
|
|
| 3. Original loan amount |
|
4. Current interest rate
(in
decimals) |
(For help
with fractions
look here)
|
| 5. Loan term |
30
years
15 years
Other
|
| 6. Loan type |
Fixed-Rate
Adjustable-Rate*
Other
* If Adjustable-Rate, give details in Comment Box below |
| 7. Payment frequency |
Monthly
Annually
Other
|
8. Actual mortgage
payment, excluding
escrow and PMI
|
|
9. Total payment,
including escrow
and PMI |
|
10. Have you made
additional principal
payments? |
No
Yes
* If yes, give details in Comment Box below
|
11. Estimated current
outstanding loan
balance |
|
12. Prepayment
penalty?
|
No
Yes
* If prepayment penalty, give details in Comment Box below
|
| Anticipated Loan Information |
13. Anticipated closing
date
(Month and Year)
|
|
| 14. Desired loan amount
|
|
15. Interest rate
(in decimals) |
(For help
with fractions look here)
|
| 16. Loan term |
30 years
15 years
Other
|
| 17. Loan type
|
Fixed-Rate
Adjustable-Rate*
Other
* If Adjustable-Rate, give details in Comment Box below |
| 18. Payment frequency
|
Monthly
Annually
Other
|
19. Mortgage payment,
excluding escrow
and PMI* |
* If unsure, put $0 and Dr. Guttery will calculate the payment |
20. Good-faith closing
costs, excluding
discount
points and
origination fees |
(A conservative
estimate is $1500 + title policy fee)
* If unsure, put $2500 and use the Comment Box below
|
21. Number of discount
points and origination
fees* |
* If unsure, put zero and use the Comment Box below
|
22. Discount points and
origination fees
(in dollars) |
(One discount point equals 1% of loan amount)
* If unsure, put $0 and use the Comment Box below
|
23. Anticipated holding
period of loan
(in years) |
|
24. Will closing costs
and discount points
be rolled into loan? |
No
Yes (If yes, adjust Desired loan amount above) |
25. Comment Box
Please reference
all comments with
the appropriate
question
number. |
|
| |
|
| |
|
