Refinance Questionnaire Form is submitted securely to us About You Borrower 1 * Borrower 2 Email * Daytime Phone Evening Phone Marital Status * MarriedSingle Primary Residence? * YesNo Borrower 1 SSN * Borrower 2 SSN Borrower 2 Relationship About Your Homeowner's Insurance Insurance Company Agent's Phone Expiration Date Annual Premium If you do not have the insurance information available at this time, please provide it as soon as possible. (This applies to condominiums as well.) Owners Currently listed on deed Current Mortgage Information Lending Institution (1st Mortgage) Equity Line/ Second Mortgage Lending Institution (2nd Mortgage) Will the 2nd mortgage be? SubordinatedPaid off Refinancing a Condominium? Condo Assoc. Contact Condo Contact Phone Association Fee Is water/sewer included in fee? YesNo Notes Would you like to attach any documents? (i.e., tax bill, insurance binder) By submitting this form, I authorize Summit Title to receive any payoff information with regard to my/our loan. Forms are secure when submitted.