SAXE MORTGAGE COMPANY
950 John Daly Blvd., Suite 200, Daly City, CA 94015 (650) 755-7293 Fax (650) 755-7064

Final Document Request Form


______________________________
Borrower’s Name 

______________________________

Borrower’s Name

VESTING:__________________________________________________________________________________________________

SUBJECT PROPERTY ADDRESS:______________________________________________________________________________

LOAN AMOUNT: ____________________                 TERM RATE:____________________

PREPAYMENT PENALTY:____________________ PREPAID INTEREST:____________________

BROKER FEES:

Origination Points ____________
Appraisal Fee POC ____________
Credit Report Fee POC ____________
Processing Fee ____________
Other Fee ____________
$____________
$____________
$____________
$____________
$____________

Saxe Mortgage Company Fees:

Discount Points ____________
Processing Fee ____________
Doc Prep Fee ____________
Wire Fee ____________
Other Fees ____________
$____________
$795.00
$350.00
$30.00
$____________

Special Instructions:_________________________________________________________________________________________

Send Documents To:________________________________  Att:________________________________________
Company Name                                                    Escrow Officer

Phone: _______________  Fax: _______________ Email: _______________

Submitting Broker _______________ : Tel: _______________ Fax: _______________

Contact Person: _______________ Email: _______________


________________________________                                 ________________________________
Broker’s Signature                                                                        Borrower’s Signature