MIAMI OFFICE

9425 Sunset Drive, Suite 124
Miami, FL 33173
Tel.: (305) 271-0100
Fax.: (305) 271-8166

DORAL OFFICE

4055 NW 97 Avenue, 1st floor
Doral, FL 33178
Toll Free: 1877-848-5366
Fax.: (305) 777-8816

PEMBROKE PINES
CLOSING LOCATION

Toll free 1-877-848-5366
Fax 305-777-8816

SOUTH BEACH CLOSING LOCATION

Toll free: 1-877-848-5366
Fax.: 305-777-8816
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Equity Line

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* Required Fields

*Ordered By:
Are you a: Direct Lender  Mortgage Broker  Individual  Other 
Company:
*Phone No: Fax:
Cell: *Email:
Loan Amount:
Mortgagee / Lender:
Estimated Closing Date:
Property Address:
City: State: Zip:
Signing Location Kendall  Doral  South Beach  Mail Away 

Borrower Information

Borrower Name: Social Security Number:
Marital Status: Single  Married  Divorced  Widowed 
Co-Borrower: Social Security Number:
Marital Status: Single  Married  Divorced  Widowed 
Current Address:
City:
State: Zip:
Email:
Phone No: Fax:
Is this property homestead for the borrower(s)? Yes  No 
Are all current owners and or borrowers available to sign? Yes  No 

Borrowers Existing Mortgage(s) or Equity Lines

1st mortgage/equity line held by:
To be paid off? Yes  No 
Loan No.:
Phone No.:
2nd mortgage/equity line held by:
To be paid off? Yes  No 
Loan No.:
Phone No.:
Is there an association? Yes  No 
Name:
Phone No.:
Comments:

Additional documents we will need:

1. Existing survey

2. Homeowners insurance all pages (please include all existing policies)

Please fax to (305) 271-8166 or send via e-mail to