EOI Refinance – Purely Insurance

Purely EOI - Refinance

Required Information

EZLynxAppID*
Email*
Send From*
Client Name (Internal Use ONLY)*
Loan Closing Date
MM slash DD slash YYYY
Current Policy Expiration Date*
MM slash DD slash YYYY
Start Loan Closing Refinance*
- Start Loan Closing Refinance
This must be checked to Start Refi Sequence.
Escrow #
Property Street Address*
Billing Type*
- Insured Billed
- Mortgagee Billed
Coordinator ONLY
Use Coordinator if UNKNOWN.

- START Coordinator Communication
Coordinator First Name:
Coordinator Last Name:
Coordinator Email:
Coordinator Phone:
Escrow Officer

- START Escrow Officer Communication
Escrow Officer First Name:
Escrow Officer Last Name:
Escrow Officer Email:
Escrow Officer Phone:
Loan Officer

- START Loan Officer Communication
Loan Officer First Name:
Loan Officer Last Name:
Loan Officer Email:
LO Phone: