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Third Party Payoff Request Form
Loan Maturity Extension Application
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Loan Maturity Extension Application
Loan Maturity Extension Application
Requestor Information
Date of Request
Loan Number
*
*
Requestor Name
*
*
Phone Number
*
*
Phone Extension
*
*
Email
*
*
*
Loan Information
Origination Purpose
*
Rehab/Flip
Rental
Bridge
Other
Extension and Exit Information
What is the Purpose of this Extension
*
*
What is the Exit Strategy
*
*
Length of Extension Requested in Months
*
3 Months
6 Months
Occupancy Status
*
Vacant
Tenant Occupied
Owner Occupied
Rehab Status
All Planned Rehab Completed?
*
No
Yes
Date of Completion for Rehab
*
Estimated Cost of Remaining Rehab
*
Remaining Rehab Planned
*
Listing Information
Is Property Listed for Sale
*
No
Yes
Will Property Be Listed by End of Extension
No
Yes
Anticipated List Date
*
Reason not Currently Listed
*
Listing Agent
*
Date Listed
*
Inspection Contact
Inspection Contact Name
*
*
Inspection Contact Phone
*
*
Inspection Contact Phone Extension
*
*
Inspection Contact Relationship
*
Tenant
Borrower
Authorized Third Party
Best Time of Day for Interior Inspection
*
Morning
Afternoon
Evening
Inspection Instructions
*
Upload File
File Upload
File Upload
Yes
File Upload
No
Acknowledge
I understand that approval of application is not guaranteed and is conditioned upon approval and receipt of payment of the extension fee, execution of the extension agreement, and receipt of any other documents that may be required. By submitting this application, I certify that the stated information is true and accurate and acknowledge that the information provided is for application purposes only.
*
Federal ECOA Notice
Certification of Extension Request and Digital Signature
Files
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In This Section
Extension Consent and Signature.html
Extension Federal Notice
