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SELECT A LOAN TYPE
Purchase
Refinance
Home Equity
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SELECT PROPERTY TYPE
Single Family
Multi-Family
Condominium
Townhouse
Manufactured Home
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WHAT IS THE PROPERTY USE?
Primary Residence
Vacation Home
Investment Property
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HOW IS YOUR CREDIT?
Excellent
Very Good
Good
Fair
Poor
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HAVE YOU ALREADY FOUND A HOME ?
Yes
No
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Purchase Price
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MILITARY SERVICE?
Yes
No
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YOU EXPECT TO BUY WITHIN?
Soon
Next 60 days
Next 6 months
Not very soon
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First time home buyer?
Yes
No
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Bankruptcy in last 7 years?
Yes
No
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Annual Household Income?
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Monthly Debt Payments
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Employment status
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Employed
Self Employed
Retired
Unemployed
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Loan Purpose
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Lower Interest Rate
Lower Monthly Payment
Debt Consolidation
Change Rate / Term
Home Improvement
Take Cash Out
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Property Value
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1st Mortgage Balance
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1st Mortgage Interest Rate
- Select an option -
13%
12.875%
12.75%
12.625%
12.5%
12.375%
12.25%
12.125%
12%
11.875%
11.75%
11.625%
11.5%
11.375%
11.25%
11.125%
11%
10.875%
10.75%
10.625%
10.5%
10.375%
10.25%
10.125%
10%
9.875%
9.75%
9.625%
9.5%
9.375%
9.25%
9.125%
9%
8.875%
8.75%
8.625%
8.5%
8.375%
8.25%
8.125%
8%
7.875%
7.75%
7.625%
7.5%
7.375%
7.25%
7.125%
7%
6.875%
6.75%
6.625%
6.5%
6.375%
6.25%
6.125%
6%
5.875%
5.75%
5.625%
5.5%
5.375%
5.25%
5.125%
5%
4.875%
4.75%
4.625%
4.5%
4.375%
4.25%
4.125%
4%
3.875%
3.75%
3.625%
3.5%
3.375%
3.25%
3.125%
3%
2.875%
2.75%
2.625%
2.5%
2.375%
2.25%
2.125%
2%
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Do you have a 2nd mortgage?
Yes
No
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2nd Mortgage Balance
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2nd Mortgage Interest Rate
- Select an option -
13%
12.875%
12.75%
12.625%
12.5%
12.375%
12.25%
12.125%
12%
11.875%
11.75%
11.625%
11.5%
11.375%
11.25%
11.125%
11%
10.875%
10.75%
10.625%
10.5%
10.375%
10.25%
10.125%
10%
9.875%
9.75%
9.625%
9.5%
9.375%
9.25%
9.125%
9%
8.875%
8.75%
8.625%
8.5%
8.375%
8.25%
8.125%
8%
7.875%
7.75%
7.625%
7.5%
7.375%
7.25%
7.125%
7%
6.875%
6.75%
6.625%
6.5%
6.375%
6.25%
6.125%
6%
5.875%
5.75%
5.625%
5.5%
5.375%
5.25%
5.125%
5%
4.875%
4.75%
4.625%
4.5%
4.375%
4.25%
4.125%
4%
3.875%
3.75%
3.625%
3.5%
3.375%
3.25%
3.125%
3%
2.875%
2.75%
2.625%
2.5%
2.375%
2.25%
2.125%
2%
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Any late mortgage payments?
Yes
No
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Any foreclosure in last 7 years?
Yes
No
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Do you currently have an FHA loan?
Yes
No
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Property Zip (optional)
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PROPERTY ADDRESS
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TELL US ABOUT YOURSELF
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