Horizon Settlement Services, Inc.

Submit Your Buyer Information

Borrower Information

Personal Information (* indicates a required field.)

Your New Lender:*

Your Name:*

Loan/Transaction Type:

Are you Purchasing a house?
Are you Refinancing your Existing Mortgage?
Are you taking out an Equity Mortgage?

Your Telephone:

Home:

Work:

Your Email Address:

Co-Borrower:

Co-Borrower Telephone:

Home:

Work:

Property Address:*

City*, State*, Zip:

Your Current Address:

City, State, Zip:

Purchase Information

Title Preference:

Joint Tenancy
An undivided interest in property taken by two or more joint tenants. Interests must be equal, occurring under the same conveyance and beginning at the same time. Upon the death of one joint tenant, the interest passes to the surviving joint tenants, rather than to the heirs of the deceased.
Tenants in Common
An undivided ownership in real estate by two or more persons. The interest need not be equal, and, in the event of the death of one of the owners, no right of survivorship in the other owners exist.
Individually (One Owner)
One owner
I am not sure. Please contact me.

Your Attorney (If any or, If not our office):

Your Attorney Address:

City, State, Zip:

Phone:

Your Insurance Agency:

Phone:

Refinance Information

Current First Mortgage Lender:

Loan/Account Number:

Lender Telephone:

Current Equity / Second Mortgage Lender:

Loan/Account Number:

Lender Telephone:

Insurance Company Name
Agent's name
Agent's telephone
Policy/Binder #
Annual Premium
Expiration Date	Month Day Year

Notes or Special Instructions to us:

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