You are here: Benchmark Home » Resources » Refinance Questionnaire Refinance Questionnaire Brought to you by Benchmark. Personal Information: Borrower Name* Your Email* Home Phone* Cell Phone Are you married? MarriedUnmarried Co-Borrower Name How is your credit score? ---No Credit<580580-669670-739740-799800+ How is your Co-Borrower's credit score? ---No Credit<580580-669670-739740-799800+ Current property address Street City State Zip Current loan balance $ Estimated value $ Do you have a second lien or home equity loan? YesNo If so, what is the current balance? $ What is your current interest rate? % 2nd lien % What is your current total monthly payment? $ Have you refinanced your home before? YesNo When? Is your current loan an FHA, Conventional, VA, or other loan type? ---ConventionalFHAVAJumboOther How much are your current property taxes? $ How much do you pay for homeowners insurance? $ Do you pay your taxes and insurance with your monthly payment? YesNo Would you like to roll closing costs into the new loan? YesNo When did you purchase the home? month year How long do you plan to keep the home? yrs. Has this property been listed for sale in the past 12 months? YesNo Term of mortgage requested? 30 yrs25 yrs20 yrs15 yrs10 yrsUnsure/Undecided Type of mortgage: FixedARMUnsure/Undecided Would you like any cash out? YesNoUnsure Do you have any comments, or is there anything you think we should know? By completing this form, you agree to receive contact from Benchmark. You are not obligated to use Benchmark for a home loan.