Complete this form as accurately as you can to the best of your knowledge. If you don't know or are unsure of an answer, simply skip it. There is a comments field at the bottom of this form, please utilize this field to provide any additional information you wish.

After doing preliminary research and without pulling your credit report, a Mortgage Specialist will contact you to discuss your options.

We provide this unique service because it is efficient and to help you get the best possible loan for you and your individual needs.

 

Purpose
Please fill in required fields

Purchase Price
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Amount of Cash Out Needed?

Loan Amount
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Down Payment
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Desired Down Payment %?

Market Value
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Market Value
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First Time Home Buyer
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Loan to Value Ratio (if known)
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- Percentage of financing you are seeking?

State of Subject Property*
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Subject Property Zip code (if known)
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Property Type:
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Occupancy Type:
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How long do you intend on owning this property?
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Term - Check all that you're considering

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Primary Borrower - Credit Information

Ever File Bankruptcy?
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Chapter
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Discharged?
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Previous Foreclosure?
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When was Foreclosure?
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Previous Short Sale?
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When was Short Sale?
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Previous Loan Modification?
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When was your Loan Modification?
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Credit Scores (if known)

Equifax
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Trans Union
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Experian
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Middle Score
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Credit Notes (optional)
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Primary Borrower - Employment Information

Employment Type
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Anticipated Income Documentation Type
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Liquid Assets (checking, savings, stocks, retirement account..)
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Co borrower?
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Co Borrower - Credit Information

Ever File Bankruptcy?
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Chapter
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Dischaged?
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Previous Foreclosure?
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When was Foreclosure?
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Previous Short Sale?
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When was Short Sale?
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Previous Loan Modification?
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When was your Loan Modification?
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Co borrower - Credit Scores (if known)

Equifax
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Trans Union Score
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Experian
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Middle Score
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Co borrower - Credit Notes (optional)
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Co Borrower - Employment Information

Employment Type
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Anticipated Income Documentation Type
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Liquid Assets (checking, savings, stocks, retirement account..)
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Your Message
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Full Name*
Please enter your name

Email Address
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Phone Number*
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Best Time to Contact You
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