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Let's start with the basics

What type of loan are you looking for?

Refinance Home Equity New Purchase

In what state is the property located?

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Please tell us about the home and mortgage you are interested in

Have you identified a specific house?

Yes No

Do you currently own a home?

Yes No

When will you likely buy a house?

Select Within 30 days 1-2 months 2-3 months 3-4 months 5-6 months More than 6 months More than 12 months

What is your estimated purchase price?

Select $50,000$60,000$70,000$80,000$90,000$100,000$110,000$120,000$130,000$140,000$150,000$160,000$170,000$180,000$190,000$200,000$210,000$220,000$230,000$240,000$250,000$260,000$270,000$280,000$290,000$300,000$310,000$320,000$330,000$340,000$350,000$360,000$370,000$380,000$390,000$400,000$420,000$440,000$460,000$480,000$500,000$520,000$540,000$560,000$580,000$600,000$620,000$640,000$660,000$680,000$700,000$720,000$740,000$760,000$780,000$800,000$820,000$840,000$860,000$880,000$900,000$920,000$940,000$960,000$980,000$1,000,000$1,100,000$1,200,000$1,300,000$1,400,000$1,500,000$1,750,000 $2,000,000+

Estimated Down Payment?

Select Down Payment 0% 3% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%+

Desired Rate Type

Adjustable Fixed Don't Know

Home will be used as

Primary Residence Second/Vacation Home Investment Property

Description of Home

Single Family Residence Co-Op Condominium/Townhome Mobile/Manufactured Home Multi-Family

Please tell us about your personal finances

Credit Rating

Excellent Good Fair Poor

Occupational Status

Employed Self-Employed Retired Not Employed

Gross Annual Income?

Select $0 - $10,000$10,000 - $19,999$20,000 - $29,999$30,000 - $39,999$40,000 - $49,999$50,000 - $59,999$60,000 - $69,999$70,000 - $79,999$80,000 - $89,999$90,000 - $99,999$100,000 - $124,999$125,000 - $149,999$150,000+

How much credit card debt do you have?

$0 Less than $5,000 $5,000 - $9,999 $10,000 - $19,999$20,000 - $29,999$30,000 - $39,999$40,000 - $49,999$50,000 - $59,999$60,000 - $69,999$70,000 - $79,999$80,000 - $89,999$90,000 - $99,999 $100,000+

Have you ever filed bankruptcy?

None Less than 12 months ago 1-2 years ago 2-5 years ago 5-7 years ago

Please provide your contact information

First Name

Last Name

Address

Address 2 (optional)

City

State

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Zip

Day Phone Number

Evening Phone Number

Email

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