Nevada - South Lender City National Bank 2100 Park Place #150 El Segundo, CA Additional Services Please Select ALTA w/ Full Escrow ALTA w/ Sub-Escrow ALTA w/ No-Escrow Short Form (STEP Policy) Borrower Information (Name, address, phone) 2nd Borrower Information (Name, address, phone) Social Security Number (Last 4 digits only) Social Security Number - 2nd Borrower (Last 4 digits only) Property Address (street, city, zip code) Mailing Address of Borrower (if different from subject property) Refinance Amount New 1st Amount A.P.N New 2nd Amount Lot & Tract Estimated Closing Date Please enter all of the information below so there will not be a delay in your order. Loan Coordinator Ofelia Paterra 310-297-8037 Gloria Carter 310-297-8003 Esther Suazo 310-297-8085 E-mail Ofelia.Paterra@cnb.com Gloria.Carter@cnb.com Esther.Suazo@cnb.com Company phone (Please include extension) Fax *PAYOFF/SUBORDINATION INFORMATION: (FOR REQUESTING DEMANDS UNLESS OTHERWISE NOTED BELOW) First Loan Loan Number Lender Address (street, city, zip code) Subordination Yes No Payoff Amount Second Loan Loan number Lender Address (street, city, zip code) Subordination Yes No Payoff Amount Additional loans/Charge accounts to pay at close of escrow Notes Please open this order in SureClose. Privacy Policy I agree to the Privacy Policy This form may contain confidential material for the sole use by the intended recipient(s). Any review, use, distribution or disclosure by others is strictly prohibited. The information contained herein is intended to be used solely for the ordering of real estate information. Any other use of the information is also prohibited. Submit