Energy Efficient Mortgage Request Sheet

LOAN APPICANT Name:	*please include every name that is on the loan application.
Purchase Address:		City:
Zip:		Phone - Home:
Cell:		Email:
LOAN Sales Price:		Interest Rate:
Locked:	YesNo
	FHA Fanny Mae VA Purchase Refinance
Estimated Date of Loan Closing:
FHA  VA Case #		Loan #
Down Payment Assistance Program?	YesNo	Streamline 203(K)	YesNo
ESCROW CO :		Escrow Number
Address:		City:
Zip:
Phone:		Fax:
Escrow Officer:
Email:
BUYER AGENT:
Company:
Address:		City:
Zip:
Phone:		Cell:
Email:
LOAN OFFICER:		Processor:
Company:
Address:		City:
Zip:
Phone:		Cell:
Email:		Processor Email:
UNDERWRITER:
Company:
Address:		City:
Zip:
Phone:		Fax:
Email:
Comments:

Bobbi Glassel

Phone 916-453-1718, Fax: 916-880-5309, Email: eem@softcom.net