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CUSTOMER NAME*:
PROPERTY ADDRESS*:
CITY*: Addison Algonquin Alsip Antioch Apple Valley Arlington Heights Aurora Barrington Bartlett Batavia Beach Park Bedford Park Bellwood Belvidere Bensenville Berkley Berwyn Blackstone Bloomingdale Bolingbrook Bourbonnais Bradley Braidwood Bridgeview Broadview Brookfield Buffalo Grove Burbank Burr Ridge Calumet City Cape Coral Cape Girardeau Carol Stream Carpentersville Cary Cedar Lake Channahon Chicago Chicago Ridge Cicero Clarendon Hills Clemont Colorado Springs Columbia Country Club Hills Countryside Covington Crest Hill Crestwood Crete Crown Point Crystal Lake Danville Darien Deerfield Deer Park Dekalb Des Plaines Dewitt Dolton Downers Grove Durand Elburn Elgin Elk Grove Village Elmhurst Elmwood Park Evanston Evergreen Park Fennville Ferndale Flagstaff Fontana Forest Park Forest View Fort Atkinson Fox Lake Fox River Grove Frankfort Franklin Park Gambrills Geneva Glencoe Glendale Heights Glen Ellyn Glenview Granger Grant Park Grayslake Green Oaks Gurnee Hainesville Hammond Hampshire Hanover Park Harvey Harwood Heights Hawthorn Woods Hayward Hazel Crest Hickory Hills Highland Park Highwood Hillside Hinsdale Hoffman Estates Homer Glen Hometown Homewood Huntley Indian Head Park Inverness Itasca Johnsburg Joliet Justice Kankakee Kenilworth Kenosha La Grange La Grange Highlands La Grange Park Lake Barrington Lake Bluff Lake Carroll Lake Delton Lake Forest Lake In The Hills Lakemoor Lake Villa Lake Zurich Lanark Lansing Leland Lemont Lexington Libertyville Lincolnwood Lindenhurst Lisle Lockport Lombard Long Grove Loves Park Lynwood Lyons Madison Manhattan Maple Park Marengo Markham Marseilles Matteson Maywood McHenry Melrose Park Mendota Merrionette Park Mettawa Midlothian Minooka Mishawaka Mokena Monee Montgomery Morris Morton Grove Mount Prospect Mundelein Myrtle Beach Naperville Nashville Nekoosa New Buffalo New Lenox Niles Norridge North Aurora North Barrington Northbrook Northfield Northlake North Riverside Nottingham Park Oak Brook Oakbrook Terrace Oak Forest Oak Lawn Oak Park Ocoee Orland Hills Orland Park Osage Beach Osterville Oswego Palatine Palos Heights Palos Hills Palos Park Park Forest Park Ridge Paw Paw Peoria Peotone Plainfield Pleasant Prairie Poplar Grove Portage Posen Prairie View Prospect Heights Putnam Richton Park Riverdale River Forest River Grove Riverside Riverton River Woods Rochester Rochester Hills Rolling Meadows Romeoville Roselle Round Lake Round Lake Beach Saint James City Sarasota Schaumburg Schiller Park Seven Hills Shorewood Skokie Somonauk South Barrington South Bend South Elgin South Haven South Holland Springfield Spring Grove St. Charles Steger Stickney St. John Stone Park Streamwood Sugar Grove Summit Summit Argo Thornton Three Rivers Tinley Park Union Pier University Park Vernon Hills Villa Park Wadsworth Warrenville Waterman Waukegan Waunakee Wayne Westchester West Chicago Western Springs Westmont Wheaton Wheeling Whitewater Whiting Wildwood Williams Bay Wilmette Wilmington Willowbrook Willow Springs Winfield Winnetka Winthrop Harbor Wonder Lake Wood Dale Woodridge Worth Yorkville Zion STATE*: AK AL AR AS 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 PR RI SC SD TN TX UT VA VI VT WA WI WV WY ZIP CODE*: COUNTY:
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You will need your Adjustable Rate Note and/or Adjustable Rate Note Rider to complete the items below!
Original Loan Amount? $ Term Of The Loan 40 years 30 years 25 years 20 years 15 years 10 years Other
Original Interest Rate: % Current Interest Rate: %
Date of Note: / / Date 1st Payment Due: / /
Original Monthly Payment (Principal and Interest): $ .
Current Monthly Payment (Principal and Interest): $ .
Initial fixed period for the interest rate on the loan? i.e. 1 Month, 6 Months, 1 Year, 2 Year, 3 Year, 5 Year, etc.
1 Month 3 Months 6 Months 1 Year 2 Years 3 Years 5 Years 7 Years 10 Years Other Comments:
Index: 11th Dist. Cost of Funds (COFI) 12 Month MTA Cost of Savings Index (COSI) Cost of Deposits Index (CODI) 1 Year Treasury Bill 1 Year London Interbank Offer Rate (LIBOR) 6 Month London Interbank Offer Rate (LIBOR) Daily London Interbank Offer Rate (LIBOR) 6 Month CD Other Comments:
Initial Rate Cap: % First rate adjustment after initial fixed period
Periodic Cap: % Would represent subsequent annual, semi annual or quarterly rate adjustments
Lifetime Cap: % Represents Highest possible rate you could pay.
Does this loan have a Payment Cap in lieu of an interest rate cap: Yes No
If yes, what percent is the annual payment cap? %
Does this loan have a Negative Amortization or Deferred Interest Provision: Yes No
Does this loan have a Recast Provision: Yes No
If Yes, Loan will recast in Months or sooner if the Loan Balance grows to % of Original Loan Amount. (Example 110%, 125%, 135% or 150%)
Does this loan contain a PRE-PAYMENT PENALTY: Yes No
Is it a hard pre-pay or soft pre-pay Hard Soft
PRE-PAYMENT PENALTY TERMS
Select your pre-payment penalty below
5 Year Penalty of 80% of six months interest 3 Year Penalty of 2% of original loan amount 3 Year Penalty of 80% of six months interest 3 Year Declining Penalty 3% 1st Year, 2% 2nd Year and 1% 3rd Year 2 Year Penalty of 2% of original loan amount 2 Year Penalty of 80% of six months interest 1 Year Penalty of 2% of original loan amount 1 Year Penalty of 80% of six months interest Other
How many years do you plan on staying in this home? Years
CURRENT VALUE OF YOUR HOME? $
Estimated Appreciation Rate %
Do you pay mortgage Insurance? Yes No If yes, amount monthly? $
Current Balance on your loan? $
Annual Real EstateTaxes: $
Annual Homeowners Insurance $
Do you have taxes and insurance included in your payments? Yes No
Do you prefer the taxes and insurance in your payments? Yes No
If you could handle tax and insurance payments on your own, would you? Yes No
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Last Updated 2007