Orlando Home Mortgages, Inc. - Orlando Mortgages


Borrower's Name
Social Security Number	DOB(mm/dd/yyyy)
Address
Address
City	State/Province	Zip code

Phone number (home)	(work)	E-mail

Employer	Position	Time worked there (months)
Income (monthly)	(other)


Co-Borrower's Name
Social Security Number	DOB (mm/dd/yyyy)
Address
Address
City	State/Province	Zip code
Phone number (home)	(work)	E-mail

Employer	Position	Time worked there (months)
Income (monthly)	(other)


Home owned (months)	Amount paid for it	Estimated home value


Company holding mortgage	Interest rate	Type of rate Fixed Variable
Remaining (months)	Monthly payment	Taxes and Insurance
Balance


Company holding mortgage	Interest rate	Type of rate Fixed Variable
Remaining (months)	Monthly payment	Taxes and Insurance
Balance


Current on all accounts Yes No	Ever filed bankruptcy Yes No	When Discharged (mm/dd/yyyy)
Need additional cash Yes No	Additional Amount
Plan(s) interested in
30 year	20 year	15 year
Fixed Purchase	Variable Purchase	Refinance
Home Improvement	Debt Consolidation
Additional questions or comments?
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Licensed Correspondent Lender.