Refinance Information Form
Thank you for choosing Tiffany The Lender for your home/commercial financing needs. This information will help identify the best financing options for your scenario.
Borrower General Information
Your Name
*
First Name
Middle Name
Last Name
Suffix
Phone Number
*
Email
*
example@example.com
Birth Date
*
-
Month
-
Day
Year
Date
Social
Projected Credit Score
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Occupancy
*
-
Month
-
Day
Year
When did you begin living at the address above?
Employment
*
W2
1099
Self Employed
Retired
Name of your current Employer
*
2 year employment history required
Title
*
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer Phone Number
*
Please enter a valid phone number.
Employer Start-End Date
*
Name of your previous Employer
Title
Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer Phone Number
Please enter a valid phone number.
Employer - Start and End Date
Income Information (Monthly)
Enter "0" for any fields that do not apply
Gross Monthly Income (before taxes)
*
Monthly Mortgage OR Rent Payment
*
Monthly Auto Loan Payment(s)
*
Total Credit Card Debt
*
Total Monthly Credit Card Minimum Payments
*
Monthly Student Loan Payments
*
If deferred, please enter total loan amount
Monthly Child Support / Alimony Payments
*
Total Liens / Judgements
*
What type of home do you wish to refinance?
*
Primary
Secondary
Investment
Subject Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Estimated Home Value
*
Principal Loan Balance
*
Current Monthly Mortgage
*
Current Interest Rate
*
Desired Amount of Cash Out
*
Intended use of funds?
*
College
Debt Consolidation
Improvement
Purchase Additional Property
Other
Liquid Assets
Money in checking and/or Savings
*
Cash on Hand
*
401K / IRA / Brokerage Account:
*
Equity in Existing Real Estate
*
Declarations
If you answer "Yes" to any questions 1-6, please submit a full explanation with your other document submissions.
1. Are there any outstanding judgements against you?
*
Yes
No
If yes, please explain?
2. Have you declared bankruptcy in the past 7 years?
*
Yes
No
If yes, please explain?
3. Have you had property foreclosed on in the past 7 years?
*
Yes
No
If yes, please explain?
4. Are you a party to a current lawsuit?
*
Yes
No
If yes, please explain?
5. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?
*
Yes
No
If yes, please explain?
6. Have you ever had a landlord action against you, been evicted from a tenancy or left owing money?
*
Yes
No
If yes, please explain?
Business Entity
Do you intend to purchase property in the name of a Corporation or LLC?
*
Yes
No
If yes, What is the Business name?
Is this an LLC or Inc.?
LLC
Inc
In what state was your business formed?
If married, does your spouse have an ownership interest in this business?
Yes
No
Will you apply for this loan with a co-borrower?
*
Yes
No
If Yes, what is the name of the co-borrower?
Please have the co-borrower(s) complete a form.
Marital Status
*
Married
Single
Separated
Referral Information
Since we are growing our business, we would love to know how you found out about us.
Referrer's Name
Your Signature
*
Submit
Questions? Contact us Monday - Friday between 6am and 5pm pst at 310.806.8403
Should be Empty: