NOTE: To successfully submit your scenario to Empire Mortgage, please make sure that you enter data into every field of this form, as well as make the necessary selections (such as Property Type). Failure to do so will result in your scenario not being submitted to Empire.
This information is intended to assist mortgage brokers only and is not intended for public use.
Last Name of Borrower:
Occupancy or Intended Usage:
Date they acquired the Property:
Original Purchase Price of Property:
Current Property Value:
Has borrower ever been in foreclosure or filed bankruptcy in the past three years?:
Existing Mortgage (Payoff Amount):
Pay History Status:
PLEASE NOTE THAT WE MUST KNOW THE 12 MONTH PAY HISTORY TO ISSUE PRE-APPROVAL
Current with clean 12-month pay history (No late payments)
Current with ONLY X30's & No BK or Foreclosures in Last 3 Years
Current with ONLY X60's & No BK or Foreclosures in Last 3 Years
60-Days Delinquent Now, No X90's & No BK or Foreclosures in Last 3 Years
Or in Bankruptcy or Foreclosure 90-Days Delinquent or more
New Loan Balance:
Amount of Cash-Out:
List Debts Borrower wants to pay off:
Rate & Term Refinance
Bail-out (FCL or BK)
Only completed scenario forms will be reviewed.
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