Refinance Information Sheet

Atlantic Title and Settlement Service needs some basic information from you in order for your closing to be a smooth transaction.

Please fill out this information sheet and email to us as soon as possible. You may also may print this page and fax it to 973-575-4854.

Primary Borrower :
name:
date of birth:
social security number:
Mortgage Information:
your present 1st mortgage company:
phone:
acct. no.:
your present 2nd mortgage company:
phone:
acct. no.:
Homeowners Information:
agent name:
phone:
policy no.:
Marital Information:
single:
married:
date of marriage:
maiden name of spouse:
divorced:
widow(er):