General Information
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What is the property
type? *
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Single Family
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Condominium
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Town House
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Multi Family
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In which city property is
located? *
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In which state property is
located? *
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Excellent
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Good
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What is your credit
history? *
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Fair
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Poor
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Fico score, if available
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How did you hear about
us?
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Property Details
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Primary residence
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Investment
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How will you be using this
property? *
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Secondary residence
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What is property
purchase price? *
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$
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.00
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What is appraisal value
of property? *
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$
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.00
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Loan Details
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What is your estimated
loan amount? *
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$
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.00
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What is your estimated
down payment? *
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$
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.00
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Best Option
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Variable/Arm
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Which loan program do
you prefer? *
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Interest Only
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Fixed
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Under 30 days
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When would you needing
this loan? *
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30 - 60 days
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60 - 90 days
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Undecided
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Borrower Information
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What is your source of
income? *
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Self-employed
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Commission
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Salary
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Retirement
Income
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Hourly wage/ Part-time wages
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Other
(Alimony, public assistance, child support, etc.)
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What is your gross
monthly income? *
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$
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.00
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What is your monthly
housing debt? (eg. Rent) *
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$
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.00
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Do you have other
monthly debt? (eg. Auto
loans, credit card) *
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If none, type 0
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$
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.00
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Employed
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Self Employed
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What is your employment
status? *
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Retired
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Not Employed
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Have you ever filed
bankruptcy? *
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No
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Yes
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If yes, which year?
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Collection amount
and date paid:
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$
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Judgement amount
and date paid:
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$
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Are you currently working
with a Realtor? *
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Yes
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No
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Contact Information
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State *
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Yes, I agree to terms and condition given below.
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This form is not an application for a loan, nor a commitment to make a loan. The dollar
amount considered for loan is only based on information provided by you. By
submitting this information request form, your information will be sent to our
participating lenders. We will contact you regarding your request. Your privacy is our
priority and we will not provide your information to third party.
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