Pre-qualify To Refinance Your Home
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MORTGAGE
General Information
W
hat is the property
type?
*
Single Family
Condominium
Town House
Multi Family
In which city property is
located?
*
I
n which
State
property is
located
?
*
Excellent
Good
W
hat is
y
our credit
history?
*
Fair
Poor
Fico score, if available
How
did you hear about
us?
Property Details
Primary residence
Investment
How will you be using this
property?
*
Secondary residence
W
hat is property
purchase
v
alue
?
*
$
.00
Loan Details
First Mortgage Only
All Mortgages
W
h
ich mortgage do you
wish to refinance
?
*
Additional Mortgages Only
Best Option
Variable/Arm
Which loan program do
you prefer?
*
Interest Only
Fixed
H
ow much additional cash
you wish to borrow
?
*
$
.00
Under 30 days
W
hen would you needing
this loan?
*
30 - 60 days
60 - 90 days
Undecided
Mortgage Details
First Mortgage
Second Mortgage
W
hat is
t
he current
balance
?
*
$
.00
$
.00
W
hat is
y
our
c
urrent
monthly payment?
$
.00
$
.00
W
hat is your current
rate?
%
%
Borrower Information
W
hat is your source of
income?
*
Self-employed
Commission
Salary
Retirement
Income
Hourly wage/ Part-time wages
Other
(Alimony, public assistance, child support, etc.)
W
hat is
y
our gross
monthly income?
*
$
.00
W
hat is
y
our
monthly
h
ousing debt?
(eg.
Rent
)
*
$
.00
D
o you have other
monthly
debt?
(eg.
Auto
loans, credit card)
*
If none, type 0
$
.00
Employed
Self Employed
W
h
a
t is your employment
status
?
*
Retired
Not Employed
H
ave you ever filed
bankruptcy?
*
No
Yes
If yes, which year?
Collection amount
and date paid:
$
Judgement amount
and date paid:
$
Contact Information
First Name
*
Last Name
*
Email Address
*
A
ddress
*
C
ity
*