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   Legal Info

Please provide the following contact information:

-Primary Applicant-
First Name
 Last Name
 
-Co-Applicant-
First Name
 Last Name
 
Email Address
 
   
 
Do you currently: Own a Home Rent
Street Address
 City
State
 Zip
Home Phone
 Work Phone
Cell Phone/Pager
Best time to contact:
 
PROPERTY DETAILS
Property Type: Current Property Value
Purchase Price
 Purchase Year
 
EXISTING FIRST MORTGAGE DETAILS-(if applicable)
Amount Owed on First Mortgage
 Current Interest Rate
Loan Type
Fixed Adjustable		 Monthly Payment
 
EXISTING SECOND MORTGAGE DETAILS-(if applicable)
Amount Owed on Second Mortgage
 Current Interest Rage
Loan Type
Fixed Adjustable		 Monthly Payment
 
LOAN DETAILS
Preferred Type of Loan:
 Preferred Loan Amount
Are you Behind on your Mortgage?

If So Please select # of Months      

Please choose an option that best describes your loan needs.
 I am very interested and ready to work with a lender or mod company.
 I am currently working with a lender or modification company, but am seeking other options.
 I would like a personalized rate quote detailing my loan options.  (refinance or purchase only)
 I am interested in looking at multiple loan programs that apply to my situation. (refinance or purchase only)
 
EMPLOYMENT/INCOME INFORMATION
-Primary Applicant-
Current Employer
 # of Years with Current Employer
Annual Income
 How would you rate your credit?
Excellent   Good   Fair   Poor
 
-Co-Applicant-
Current Employer
 # of Years with Current Employer
Annual Income
 How would you rate your credit?
Excellent   Good   Fair   Poor
 
ADDITIONAL INFORMATION
Please use this area to include any information that will be helpful during processing and consideration of your loan application.

 

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Revised: November 06, 2011