Regency Escrow Lender Regency Escrow 44145 20th W Lancaster , CA 93534 Order Type Please Select Date Down on Existing Order ALTA w/ Full Escrow ALTA w/ Sub-Escrow ALTA w/ No-Escrow Short Form (STEP Policy) Order Number for Date Down Endorsement Borrower Information (Name, address, phone) 2nd Borrower Information (Name, address, phone) SSN (Last 4 digits only) SSN -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 Info: Please enter all of the information below so there will not be a delay in your order. Loan Coordinator Diane Combs 661-948-1828 E-mail dcombs@regencyescrow.net Phone (Please include extension) Fax Info: *Payoff/Subordination Information: (For requesting demands unless otherwise noted below) 1. Loan Number 1. Lender 1. Address (street, city, zip code) 1. Subordination Yes No 1. Payoff Amount 2. Loan number 2. Lender 2. Address (street, city, zip code) 2. Subordination: Yes No 2 Payoff Amount Additional loans/Charge accounts to pay at close of escrow Notes: * Please open file in SureClose Comments: 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
