Personal Information
Your Name(First, Last):
Home Phone:
Work Phone:
E-Mail:
Fax:
Best Time to CAll:
Property Location
City:
State:
State AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Loan Request: $
Click on arrow to select.. Purchase Refinance Credit Line Home Improvement Traveling Notary Service Loan Document Signing Other please describe Owner Occupied Non owner occupied
If "other" (Please type here)
Loan Amount Desired: $
Loan Type:
Click on arrow to select... 30 year fixed 15 year fixed 30/5 year fixed 30/7 year fixed Haven't decided Other please describe
Annual Household Income: $
Credit History:
Click on arrow to select... Excellent Good some late pays Some credit problems Major credit problems Don't know
Purchase Section
Status:
Click on arrow to select... Thinking about it. Actively looking Ready to make an offer Property in escrow Other describe
If "Other" :
Purchase Price Range:
Down Payment Range:
Refinance Section
Property Value: $
Existing Loans on Property:
Reason For Refinancing:
Click on arrow to select... Reduce Interest Rates Change from fixed to adjustable Change from Adjustable to Fixed Need Cash out Reduce Payments Other please describe
If "Other" :
Current Loan Type:
Click on arrow to select... Fixed Rate Adjustable Rate Other please specify
If "Other" :
Second Mortgage Section
Loan Type::
Click on arrow to select... Credit Line Fixed 2nd mortgage Title 1 Home Improvement Other please describe
If "Other" :
Existing Loans on the Property:
Reason for Loan:
Click on arrow to select.. Home Improvement Pay off bills Other please specify
If "Other" :
General Comments:
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