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Refinance Questionnaire

Brought to you by Benchmark.

Personal Information:



Are you married?

Current property address


Do you have a second lien or home equity loan?



Have you refinanced your home before?




Do you pay your taxes and insurance with your monthly payment?

Would you like to roll closing costs into the new loan?

When did you purchase the home?


Has this property been listed for sale in the past 12 months?

Term of mortgage requested?

Type of mortgage:

Would you like any cash out?

By completing this form, you agree to receive contact from Benchmark. You are not obligated to use Benchmark for a home loan.