LTV Financial Group "Your Real Estate and Financial Services Specialists"

[All Fields Are Optional]
Please complete as much information as you can at this time, we can help fill in the blanks when we follow up with you.

Borrower Information

M.I.

Last

First

Street Address

City

State

Zip

Phone

Email Address

Alternate Phone

Credit Score
(If Avaialable)

What is the best time to Reach You?

Loan Information

Monthly Payment

Balance

1st Mortgage

2nd Mortgage

Are you behind on any mortgage payments?

-- - Amount

Are there any other unknown liens on title?

-- - Amount

Are you in Foreclosure?

-- - Amount

Appraised Value of Property:


Date of Appraisal (mm/yy)

Estimated Value

What is your Current Interest Rate?

Type (eg. 5Yr ARM/30Yr Fixed)

Lender's Name

Gross Montly Income

Please Describe Your Situation?

Anything Else We Should Know?

(Optional) Referring Broker Information

Company Name

Loan Officer Name

Loan Officer Phone

AE with LTV

Loan Officer Email