What
Kind of Home Mortgage Loan Do You Want?
Type of
Loan: *
-- Please Select --
Purchase
Refinance
Less Than Perfect Credit
Poor Credit Loans
Home Equity Loans
Home Improvement Loans
Debt Consolidation
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Length of
loan desired?
30 Years
20 Years
15 Years
10 Years
Less than 10 Years
How soon
do you need the loan? *
Right Now
1-2 weeks
Within 4 weeks
Within 6 weeks
Within 2 months
Within 3 months
Within 4 months
Within 5 months
Within 6 months
More than 6 months
Type of
Property: *
Single Family
Residence
Condo
Town House
Investment Property
Other
Desired
Loan Amount: ($) *
Estimated
Value of the Property: ($) *
Rate your
Credit: *
Excellent
Good
Fair
Poor
Worst
SKIP
THIS SECTION IF YOU DON'T HAVE A MORTGAGE AT PRESENT
Current Loan Information:
Amount Owed
on Mortgage: ($)
Current
Interest Rate (%):
Is this
a fixed or variable rate loan?
Fixed
Variable
How long
have you had this loan?
What is
your current monthly payment? ($)
Have you
been late on your mortgage? *
No
Yes - Over 2 Years Ago
Yes - Less than
2 Years Ago
Employment
Information
What is
your Gross
(Before Taxes) Monthly Income? ($) *
How long
have you been
at your current job? *
Less than 6 months
Less than 1 Year
1-2 Years
2-3 Years
More than 3 Years
Retired
Tell
Us A Little About Yourself
First Name:
*
Last Name:
*
Email Address:
*
Street Address:
City:
State:
-- Please Select --
ALASKA
ALABAMA
ARKANSAS
ARIZONA
CALIFORNIA - NORTHERN
CALIFORNIA - SOUTHERN
COLORADO
CONNECTICUT
DISTRICT OF COLUMBIA
DELAWARE
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MASSACHUSETTS
MARYLAND
MAINE
MICHIGAN
MINNESOTA
MISSOURI
MISSISSIPPI
MONTANA
NORTH CAROLINA
NORTH DAKOTA
NEBRASKA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEVADA
NEW YORK
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VIRGINIA
VERMONT
WASHINGTON
WISCONSIN
WEST VIRGINIA
WYOMING
Zip:
Phone #
to contact you: *
Your
social security number *
Miscellaneous
Information
Co-Applicant
Name (if applicable):
Co-Applicant
Gross
(Before Taxes) Monthly Income: ($)
Which would
you prefer:
Lowest Fixed Rate
Lowest Rate
Lowest Closing Costs
No out-of-pocket Costs
Any Loan
- Just get me one!
How did
you find us: *
Yahoo
AOL
Google
Referral
Email
Magazine
Newspaper
Other
Earthlink
Looksmart
Excite
Dogpile
IMPORTANT
- YOU MUST ENTER THE FOLLOWING IN THE BOX BELOW:
If this application is for acquiring a mortgage
for a Home Purchase, you must enter the full street address, city,
state and zip of the property this mortgage will be applied to in
the box below .
If this application is for acquring a Home Equity Loan, Refinance
or Home Improvement, you must enter the full street address, city,
state and zip of the property you currently own in
the box below .