Canyon.Com Online Refi Take Sheet

REFI TAKE SHEET
ESCROW #
ESCROW OFFICER
COMPANY NAME *
COMPANY ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
______________________________________________________________________________________________
1st NEW LOAN AMOUNT*
2nd NEW LOAN AMOUNT
BORROWER(S) PROPERTY ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
BORROWER(S) MAILING ADDRESS THE SAME? *

YesNo
BORROWER(S) MAILING ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
BORROWER(S)*
SSN (Last 4)
CO-BORROWER
SSN (Last 4)
BORROWER(S) BEST NUMBER
______________________________________________________________________________________________
TITLE COMPANY
CREDIT TO REP:
ESCROW TO OPEN TITLE

YESNO
______________________________________________________________________________________________
INSURANCE COMPANY
INSURANCE PHONE #
POLICY #
______________________________________________________________________________________________
1st PAYOFF COMPANY NAME
1st PAYOFF LOAN #
IS THERE A 2nd ?

YESNO
PAYOFFSUBORDINATE
2nd PAYOFF COMPANY NAME
2nd PAYOFF LOAN #
ESTIMATED CLOSE OF ESCROW DATE
______________________________________________________________________________________________
CHECK THE DOCUMENTS YOU WOULD LIKE TO SUBMIT*

BORROWER'S AUTHORIZATIONMORTGAGE COUPONSINSURANCE POLICY (if available)SCANNED ALL TOGETHEREMAIL WILL FOLLOWOTHER
OTHER:
BORROWER'S AUTHORIZATION

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MORTGAGE COUPONS

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INSURANCE POLICY

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MULTIPLE AT ONCE

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If sending an email please send to: Gina@canyonescrow.com
OTHER

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ADDITIONAL FILE?

NoYes
OTHER(2)

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COMMENTS
Date

MonthDayYear
Sender's Email for Confirmation
Should be Empty: