Elite Service. Extraordinary Clientele.

5500 E. Second Street, Suites 1 & 6, Long Beach, CA 90803
(562) 987-ALIST (2547) Fax (562) 987-2548

REFINANCE ESCROW
Welcome A-Listers!

A-List Escrow is dedicated to providing the best service to its customers. Thank you for choosing A-List. As an A-List member, we will tailor our services to meet your needs.

Please complete the Open Escrow form for a Refinance and click Submit when done. Your Escrow Officer will contact you shortly. Thank you.

OPEN REFINANCE

Refinance Amount: $ Term: Due Date:

PROPERTY

Street: City: State: Zip:

County: or Other County:

BORROWER(S) INFORMATION

1: First: Middle: Last: SSN:

2: First: Middle: Last: SSN:

3. First:Middle: Last: SSN:

4: First: Middle: Last: SSN:

MORTGAGE AGENT

Name: Company

Street: City: State: Zip:

Phone:() - Fax:() -

Email Address:

NEW LENDER

Name: Company

Street: City: State: Zip:

Phone:() - Fax:() -

Email Address:

EXISTING LENDER/PAYOFF INFORMATION

1) Company: Account#:

Phone:() - Fax:() -

2) Company: Account#:

Phone:() - Fax:() -

3) Company: Account#:

Phone:() - Fax:() -

4) Company: Account#:

Phone:() - Fax:() -

FIRE INSURANCE COMPANY

Name of Insurance Company:

Phone:() - Fax:() -

Additional Notes:

In the event we have any questions regarding this order, how may we contact you?

Name:

Street: City:State: Zip:

Phone:() - Fax:() -

Email Address:

Elite Service. Extraordinary Clientele.

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