Secure

Equity Repositioning Report Request

**Items marked * are mandatory**

*Property Info - items market are mandatory**
Type of Property*
Property Value(estimate)*
Property Address:
City:
State:*
Zip:
*1st Mortgage Information - items marked are mandatory**
1st Mortgage Initial Amount:*
*1st Mortgage Mortgage Type:**
1st Mortgage Interest Rate:*
Month & Year of 1st Payment:*
2nd Mortgage Information -
2nd Mortgage Initial Amount:
2nd Mortgage Mortgage Type
2nd Mortgage Interest Rate:
Month & Year of 1st Payment:
Are there any other liens on the property? *
Other liens - Y/N ? *
If yes, list and describe
Existing Debt Excluding Mortgages - credit cards, car loans, personal loans, etc.
Debt #1 - Amount	Rate Source
Debt #2 - Amount	Rate Source
Debt #3 - Amount	Rate Source
Debt #4 - Amount	Rate Source
Debt #5 - Amount	Rate Source
Debt #6 - Amount	Rate Source
Debt #7 - Amount	Rate Source
Debt #8 - Amount	Rate Source
If more than eight debts, list in the COMMENTS
*My Contact Information - items marked are mandatory**
First Name:*
Last Name: *
Home Address:
City:
State:*
Zip:
Primary Phone#:*
Second Phone#:
Best Time to Call:*
Email:*	Email Must Be Correct !
Personal Annual Taxable Income from All Sources*
Tax Filing Status*
Do You Do Your Own Taxes?*

Your comments or questions