HELOC & 2nd Mortgage Information Request Form
15%
Name *
email *
Type of Property *
1-4 families
Condo
Coop
Telephone *
Use of Property
Owner Occupied
2nd Home
Investment
Florida County property Located
Estimated Home Value * Valor Estimado de su Hogar
1st Mortgage Balance $ * Balance de Su Hipoteca
Is Your 1st Mortgage a Fixed Rate Mortgage?. * Su hipoteca es de Interes Fijo?
Yes
No
2nd Mortgage - All other Liens Balance $
Are all Owners 55 or older? Todos los Propietarios tienen 55 o mas?
Yes
No
If 55 or older, Have you ever NOT qualified for a Reverse Mortgage? * No ha calificado Ud para una Hipoteca Revertia?
Yes
No
Has Your Property been for Sale in the last 6 months? * Ha estado su propiedad a la Venta en los Ultimos 6 meses?
Yes
No
Comments
Thank you for your response.