Superior Financing LLC - Apply for Refinancing Indiana Home Loan

    Debt Relief Loan
Refinancing Loan

- Page 2 -

Print & MAIL TO:
Superior Financing LLC
9333 East St. Road 45
Unionville, IN 47468

FAX TO:
Superior Financing LLC
Fax : (812) 333-1110

* indicates required field.
*Borrower's Name	________________________________________
*Social Security No.	________________________________________
*Date of Birth	_________________ (mm/dd/yr)
Co-Borrower's Name (If applicable)	________________________________________
Co-Borrower's Social Security No. (If applicable)	________________________________________
Co-Borrower's Date of Birth	_________________ (mm/dd/yr)
* Address	________________________________________
*City	________________________________________
State	INDIANA We specialize in Indiana loans.
*Zip Code	_____________________
*Home Phone	(______)______________
Work Phone	(______)______________
Cell Phone	(______)______________
E-mail Address	________________________________________
*Property Type	Circle One: Primary Residence Condo Second Home Town House Manufactured Home Investment Property
*Desired Loan Amount	$____________________
*Purchase Price	$____________________

Year Property was Acquired	____________________
Present Value of Property	$____________________ (Estimation is okay.)
Amount Owed on First Mortgage	$____________________
Current Interest Rate on First Mortgage	_____________%
Current Employer	________________________________________
Monthly Payment	$____________________
Do you have PMI? (Private Mortgage Insurance)	Circle one: YES NO Not Sure
Second Mortgage Balance (If any)	$____________________
Current Interest Rate on Second	____________%
Second Mortgage Payment	$____________________
Additional Debt Amount	$____________________

*Employment Status	Circle one: Employed Self-Employed Retired Not Employed
Current Employer	_________________________________
No. Years with Current Employer	_____________
*Annual Income	$____________________
*Describe Your Credit	Circle one: Excellent Good Fair Poor
*Ever had a Bankruptcy?	Circle one: Never Declared Chapter 7 Chapter 13
If declared Bankruptcy, in what year did you declare?	________________________________________
*Type of Loan Desired	Circle one: Debt Consolidation Home Improvement Loan Refinance with Cash Out Land Contract Refinance 100% - 115% Refinance 125% Refinance Interest Only Refinance Line of Credit Pay off tax liens & judgments Investment/Rental Property Commercial Loans Not sure - Let's discuss
*Best Time to Call	Please give us a time frame from 9AM to 9PM!____________________
*Preferred Phone No.	Choose one: Home Phone Work Phone Cell Phone (Please make sure you have supplied the number.)

THANK YOU FOR CONSIDERING SUPERIOR FINANCING LLC!