Lenders Edge Settlement Services

Online Application

Please fill out the following and a Lenders Edge Settlement Services Representative will contact you shortly:

Type Of Application
Choose A Type:	Purchase Refinance
Application Made By
Name:
Company:
Phone:
Fax:
Email
Borrower Information
Borrowers Name:
DOB:
SSN:
Home Phone:
Work Phone:
Co-Borrower Information
Co-Borrowers Name:
DOB:
SSN:
Home Phone:
Work Phone:

Property Address to be Searched
Street:
City:
County:
State:
Zip:
Is the property occupied?	Yes No
Lender Information
Proposed Lender:
Loan Amount:
Estimated Settlement Date (if any):
Existing Mortgage Information
Does any current mortgage on the property escrow for taxes?	Yes No
Name of existing first mortgage company, if any:
Account Number:
Phone:
Status of Mortgage:	Will Remain Will Be Paid Will Subordinate
Name of existing second mortgage, if any:
Account Number:
Phone:
Status of Mortgage:	Will Remain Will Be Paid Will Subordinate
Please check the items you would like us to obtain:	Mortgage Payoffs Real Estate Taxes Water Sewer Judgment Payoffs
Please Note - if you would like us to order any mortgage payoffs, please supply us with a properly executed borrower's authorization.
Additional Information: