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REALTORS
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SETTLEMENT AGENTS
Your Success Is Our Business
ELTG Settlement Agent Application
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HOME OWNERS
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SCHEDULING FORM
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*
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BORROWER'S INFORMATION
Scheduling Data
*
Type of Closing:
Stand Alone Purchase
1st and 2nd Purchase
Stand Alone Refinance
1st and 2nd Refinance
Home Equity Loan
Reverse Mortgage
Investment
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Our File Number:
*
Borrower's Name:
Co-Borrower's Name:
*
Home Phone:
(xxx-xxx-xxxx)
*
Work Phone:
(xxx-xxx-xxxx)
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Address of Settlement:
*
City:
*
State:
Select
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
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Zip:
*
Date of Settlement:
January
February
March
April
May
June
July
August
September
October
November
December
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2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
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Time:
*
Loan Amount:
*
2nd Loan Amount:
*
Lender:
Deed:
Yes
No
DEED INFORMATION
*
Added or Removed:
Select
Added
Removed
*
Name of the person:
*
Relationship with the person:
*
If being removed, are they deceased?:
Yes
No
LOAN OFFICER'S INFORMATION
*
Name:
*
Phone:
Settlement Contact Phone:
*
Email:
PROCESSOR'S INFORMATION
*
Name:
*
Phone:
Settlement Contact Phone:
*
Email:
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