HELOC & 2nd Mortgage Information Request Form
15%
Name *
email *
Telephone *
Type of Property *
1-4 families
Condo
Coop
Use of Property
Owner Occupied
2nd Home
Investment
Florida County property Located
Estimated Home Value
1st Mortgage Balance $
Is Your 1st Mortgage a Fixed Rate Mortgage
Yes
No
2nd Mortgage - All other Liens Balance $
Are any Owners 55 or older?
Yes
No
If 55 or older, Have you ever NOT qualified for a Reverse Mortgage?
Yes
No
Yes
No
Has Your Property been for Sale in the last 6 months?
Yes
No
Comments
Thank you for your response.