Private Lender Form
Private lender to complete to provide terms and specifics for their loan for preparation of loan documents
DON'T BE A VICTIM OF WIRE FRAUD: Contact our verified office number at 305-271-0100 PRIOR to sending your loan proceeds to verify wire instructions. DO NOT SEND YOUR LOAN WIRE UNTIL YOUR FILE IS CLEARED TO CLOSE and you have received your wire amount from our office. *
Required
Property address to be secured by this mortgage/lien: *
Tax folio # *
Requested closing date? *
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Current owner(s) of record of this property *
Will this be or is this currently the borrower's primary residence? *
Lender name/entity as to appear on loan documents (mortgagee clause): *
Lender's mailing address for loan documents *
Lender contact person *
Lender's phone number *
Lender's contact email *
Mailing address for payment : *
Borrower(s) full legal name to appear on loan documents *
Borrower(s) marital status (if borrower is an individual only) *
Borrower mailing address : *
Borrower phone number *
Borrower email *
Will borrower also be the personal guarantor on the loan? *
Please list ALL personal guarantors on the loan? *
What is the loan amount? *
Is this a ballon mortgage /note? *
What is the annual interest rate % on this loan? *
Is the interest rate fixed or variable? *
Is this an interest-only loan? *
Is this a fully amortized loan? *
What is maturity date for this loan?
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Number of years for this loan? *
Number of total payments? *
Monthly mortgage only payment amount? *
Is this payment? *
Will you be collecting taxes and insurance in a separate escrow payment? *
Escrow payment amount? Please specify breakdown.
Payment is due on what date every month? *
The first payment is due on what date? *
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Last payment is due on what date? *
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Payment is late on what date every month? *
Late charge amount *
Does the borrower have a right to prepay the loan in full prior to the maturity date? *
If NO, what is the prepayment penalty amount expressed a dollar amount or %?
Does lender require a Municipal Lien Search ordered for local code vioaltions or city liens on the property that may not reflected on title ? *
Does lender require a survey for this property ? (not required or condos) If NO, the survey requirement will be an exception to the Lender's Title Policy. *
Does lender require an Estoppel (balance due) from the Condo/HOA/Community Association ? (Condos only) *
Please attach an amortization table for the borrower to sign at closing
Please list ALL fees and specifics amountshere you will be charging on the HUD closing statement for this loan ? (i.e. loan origination = $X ; etc). If you are NOT charging any loan fees, please write in "none" here *
Lender agrees that above information is correct and that they will provide written approval of all loan documents within 24 hours of closing and hold The Closing Company, Inc. harmless for any typographical or term errors from their failure to review loan documents thoroughly. *
Required
Special instructions:
Completed by : *
Date *
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