Contact Us

Miralex
One Cross Island Plaza, #207
Rosedale, NY 11422
Phone: 718-525-7900
Cell: 718-506-2493
Fax: 800-804-7870
Notary Public,
Real-Estate, Mortgage,
Insurance, Income Tax, Credit Repair

Miralex
One Cross Island Plaza, Suite 207
Rosedale, NY 11422
P:718-525-7900, Fax:800-804-7870
Cell: 718-506-2493
Email: MiralexManagement@yahoo.com

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(CONTACT US)


(REAL ESTATE QUOTE)  (REAL ESTATE LISTINGS) (REAL ESTATE RENTALS)

(MORTGAGE SCNENARIO)   (MORTGAGE QUOTE)


(AUTO INSURANCE)   (HOME INSURANCE)   (LIFE INSURANCE) (SPECIALTY)

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Comments:	Enter comments here!

Miralex
One Cross Island Plaza, Suite 207
Rosedale, NY 11422
Phone: 718-525-7900
Cell: 718-506-2493
Fax: 800-804-7870
MiralexManagement@Yahoo.com

The Intelligent Choice !
NYS Licensed Broker
NYS Department of State

AUTO INSURANCE INTAKE FORM

Please complete if you want to Receive an Auto Quote within 48-hours

REFERRAL NAME & PHONE:
FIRST & LAST NAME:
HOME ADDRESS:
GARAGING ADDRESS:
HOME PHONE:	CELL PHONE
DRIVER LICENSE-#:	EFFECTIVE EXPIRATION
EXISTING INSURER:	POLICY-# EXPIRATION
EXISTING LIABILITY COV:	EACH PERSON EACH ACCIDENT PROPERTY DAMAGE
AUTO MAKE:	MODEL BODY TYPE YEAR
VIN-#:	REGISTERED STATE
ODOMETER READING:	ANNUAL MILEAGE
DATE PURCH:	NEW/USED
CAR SAFETY:	PASSIVE SEAL BELT AIR BAG DRV/BOTH ANTI LOCK BRAKES ANTI-THEFT DEVICES
DRIVER: (NAME,SEX,SS#,DOB, DMV-LICENSE #/STATE)
DEPENDENTS INFO: (NAME,SEX,SS#,DOB, DMV-LICENSE #/STATE)
DEPENDENTS INFO: (NAME,SEX,SS#,DOB, DMV-LICENSE #/STATE)
ACCIDENTS & CONVICTIONS:	DATE PROPERTY DAMAGE $ PLACE OF ACCIDENT
DESCRIPTION OF ACCIDENTS (IF ANY):

HOME INSURANCE INTAKE FORM

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REFERRAL NAME & PHONE:
FIRST NAME:	LAST NAME CELL PHONE
ADDRESS:	CITY ZIP STATE
PERSONAL INFO:	SSN DOB MARITAL STATUS
EXISTING INSURER:	POLICY-# EFFECTIVE: EXPIRE:
EXISTING COVERAGE LIMITS:	DWELLING OTHER STRUCTURES LOSS OF USE PERSONAL PROPERTY PERSONAL LIABILITY MEDICAL
CONSTRUCTION TYPES:	MASONRY FRAME ALUMINUM SIDING STUCCO ATTACHED HOME
USAGE TYPE:	PRIMARY SECOND HOME INVESTMENT RENTAL VACANT
PROPERTY TYPE:	#-FAM CONDO COOP RENTER COMMERCIAL MIXED-USE
HOME CONDITION:	HOUSEKEEPING PLUMBING ROOF
PROPERTY DIMENSION:	TOTAL LIVING AREA BASEMENT AREA GARAGE AREA
LOSS HISTORY:	LOSS DATE LOSS TYPE DESCRIPTION
OTHER INFO:	HAS COVERAGE IN THE PAST DECLINED CANCELLED NON-RENEWED FORECLOSURE REPOSSESSION BANKRUPTCY JUDGEMENT IN PAST 5-YRS
MISC...

REAL ESTATE INTAKE FORM

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REFERRAL NAME & PHONE:
FIRST & LAST NAME:	CELL
ADDRESS:
FIRST & LAST NAME:	CELL
ADDRESS:
REFERRAL:	NAME PHONE
PURCHASE OR RENTAL?	PURCHASE RENTAL
LOCATION:
#-FAM / BED:	#-FAM CONDO COOP #-BEDROOM (IF RENTAL)
DESCRIPTION:	DETACHED BASEMENT NEEDS IMPROVEMENT STYLE ?
EMPLOYMENT:	#-YRS TYPE OF EMPLOYMENT
CREDIT HISTORY:	SCORE CREDIT REPORT DATE
OTHER MONTHLY DEBTS	CREDIT CARDS (MIN. PYMT) STUDENT LOANS CAR LOANS OPEN-COLLECTIONS OPEN-JUDGEMENT CHARGE-OFFS
OWN OTHER PROPERTIES ?	ADDRESS #-FAM MTG-PYMT RENTAL PAY-OFF

AVOID FORECLOSURE INTAKE FORM

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REFERRAL NAME & PHONE:
BORROWER:	FIRST NAME LAST NAME CELL:
CO-BORROWER:	FIRST NAME LAST NAME CELL:
SUBJECT PROPERTY ADDRESS:	City Zip Code State
PROPERTY TYPE ?	1-Fam 2-Fam 3-Fam 4-Fam Condo Coop
MAIL RECEIVED: (Please Provide us with Copies)	Notice of Default Lis-Pendens Notice Foreclosure Pkg Foreclosure Conference Bank Attorney Letter(s) Modification Status Letters Trial Plan(s) Letters Others Correspondance Received
LENDER-#1 INFO:	Name: Loan-#: Balance:
LENDER-#2 INFO:	Name: Loan-#: Balance:
Other Properties Owned (Mtg-Payment & Rent)	Mtg Rent Mtg Rent
INCOME: (Salaries, Rent, Self-Empl)
MONTHLY DEBTS: (Credit Cards, others...)
ASSETS: (Cash in bank, 401k, etc...)
LAST PAYMENT MADE:	Amount Date
DOCUMENTATION REQUIRED:	1-Month Income 2-Yrs Income Tax 2-Months Bank Statement Rental Lease Copy of Rental Checks Recent Mortgage Statement Hardship Letter SSI & Pension Award Letters Hardship Letter Financial Worksheet Copy of Closing Documents: Copy of NOTE Copy of MORTGAGE Copy of DEED
MISCELLANEOUS:

MORTGAGE SCNENARIO FORM

Please complete if you want to submit us with a Scenario.

REFERRAL NAME & PHONE:
SUBJECT PROPERTY ADDRESS:
#-FAM ? (1 Fam / 2-Fam / 3-4 Fam)	Appraisal Value ?
PURCHASE (Purchase Price)	Buyer-1(Credit) Buyer-2(Credit)
REFINANCE (Loan Balance)	Owner-1(Credit) Owner-2(Credit) Cash-Out
Other Properties Owned (Mtg-Payment & Rent)	Prop-1 & Rent Prop-2 & Rent
INCOME: (Salaries, Rent, Self-Empl)
MONTHLY DEBTS: (Credit Cards, others...)
ASSETS: (Cash in bank, 401k, etc...)
TITLE ISSUES:
OTHER ISSUES:

MORTGAGE QUICK QUOTE
Please complete for a 24-Hrs Quick Quote Turn around

REFERRAL NAME & PHONE:
LOAN PURPOSE:	PurchaseRefinance Refi-Rate/Term Refi-Cash Out FHA-StreamlineVA
HOME VALUE:	Existing Loan Balance ?
2nd Financing ?	YES NO
MORTGAGE INSURANCE:	Leave Blank No MI/LPMI Borrower Paid MI
PROPERTY INFO:	Zip Code State
PROPERTY TYPE:	1-Fam 2-Fam 3-Fam 4-Fam Condo Coop
PROPERY USE:	Prim Residence 2nd Home Investment
CREDIT SCORE ?	TERMS: 15-Yr 20-Yr 30-Yr 40-Yr Other
INTEREST ONLY ?	YES NO
AMORTIZATION TYPE:	Fixed 3-Yr-ARM 5-Yr-ARM 7-Yr-ARM 10-Yr-ARM Other
PRODUCT TYPE:	Conventional FHA VA DU-Refi Plus My Community