7/30/2019 7 Request for Loan Information

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REQUEST FOR LOAN INFORMATION

We have recently listed our property for sale with the Broker named below. We hereby request and authorize you to furnish our Brokewith the requested information concerning our loan. This information is necessary to determine our equity and to provide other pertineninformation necessary to consummate a sale. We understand this information is to be used only in connection with the listing for sale oour property and that it does not constitute an assumption or payoff statement or a loan commitment for a Buyer. This is not a requestfor a credit rating. Please consider this as our notice of intent to prepay.

(1297-42 R4LI Rev 4/91)

This form is available for use by the entire real estate industry. The use of this form is not intended to identify the user as a REALTOR. REALTOR is aregistered collective membership mark which may be used only by real estate licensees who are members of the NATIONAL ASSOCIATION OFREALTORS and who subscribe to its Code of Ethics.

LENDER

TO

LOAN SERVICING DEPARTMENT

FIRM NAME

STREET ADDRESS

CITY ZIPSTATE

X

Thank you,

OWNER/BORROWER (SIGNATURE)

MO/DA/YRDate:

Borrower Name:

Property Address:

Loan Number:

City: AZ., Zip

ALL QUESTIONS TO BE ANSWERED BY LENDER

TYPE OF LOAN: ASSUMABILITY:

1.

2.

3.

4.

5.

Is this Loan?

(If adjustable, please send statement showing schedules,

Fixed Rate Conventional

FHA

Other:

Adjustable Conventional

FNMA

VA

FHLMC

LOAN AMOUNT:

PAYMENT INFORMATION:

INTEREST RATE:

6.

7.

8.

9.

10.

11.

Original Loan Amount $

Current Balance $

Loan Origination Date: Maturity Date:

Monthly Payment Amount $

Is Loan current?

Current interest rate:

PITIPI

No, paid toYes

%

MO/DA/YR

The information on this form is not a statement of policy nor a payoff quotation and applies only to the loan described as of the

date indicated below:

Name of Lender's Agent (please print or type)MO/DA/YR

Phone No. Ext. FAX No. ( )( )

BROKERTO

RETURN COMPLETED COPY TO:

A Stamped, Self-Addressed Envelope is Enclosed.

Phone No.

FAX No.

12.

13.

14.

15.

16.

Is this Loan assumable?

If yes, transfer fee:

Must Buyer qualify for assumption?

Will interest rate escalate at close?

If yes, new rate will be

No

NoYes

Yes

%.

OTHER REQUIRED INFORMATION:

17.

18.

19.

20.

21.

22.23.

24.

25.

Prepayment penalty?

If a new loan is financed through your lending institution, wil

the prepayment penalty be waived?

Is flood insurance required

Are there any Blended or Preferred rates available?

Impound Account Balance: $

Is there Balloon Payment?Is there a Call Option?

Can this loan be wrapped?

Is there a buydown or subsidy in effect?

Yes,No

Yes

Yes

No

No Yes,

MO/DA/YRYes, due on

Yes

Date

AGENT'S NAME

FIRM NAME

STREET ADDRESS

CITY STATE ZIP

1991 Arizona Association of REALTORS This Form Available Through Your Local Board of REALTORS

cap rates and ceilings)

No Yes

No

NoNo Yes, due on

No

Yes No

MO/DA/YR MO/DA/YR

MO/DA/YR

Phone: Fax:

Produced with zipForm by zipLogix, 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com

To Be Determined Valley of the Sun

West USA Realty

West USA Realty 7077 E. Marilyn Rd., Ste.130 Scottsdale, AZ 85254 480.699.6678 480.214.9298Blank SamplesConnie Roberts