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The Mortgage Type You Are Looking For
Your Property Location
*2.
Location of Property:
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Your Property Area Code
*3. Property Zipcode
ex. 65032
Your Property Information
4. Property
Type
Single-family home
Town home
Condominium
Cooperative
Multiple-family dwelling
Manufactured
Mobile Home
5. Property
Use
Primary residence
Second home / vacation property
Investment property
6. Are you a first time home buyer?
*7. Have you found a home?
Select One
Yes
No
a.
Have you signed a purchase contract?
8. Do you have a real estate agent?
a. Name of real estate agent
b. Phone Number of real estate agent
Your Loan Information
*9.
Property Value (estimate)
Select One
Less than 50,000
50,000 - 55,000
55,001 - 60,000
60,001 - 65,000
65,001 - 70,000
70,001 - 75,000
75,001 - 80,000
80,001 - 85,000
85,001 - 90,000
90,001 - 95,000
95,001 - 100,000
100,001 - 105,000
105,001 - 110,000
110,001 - 115,000
115,001 - 120,000
120,001 - 125,000
125,001 - 130,000
130,001 - 135,000
135,001 - 140,000
140,001 - 145,000
145,001 - 150,000
150,001 - 155,000
155,001 - 160,000
160,001 - 165,000
165,001 - 170,000
170,001 - 175,000
175,001 - 180,000
180,001 - 185,000
185,001 - 190,000
190,001 - 195,000
195,001 - 200,000
200,001 - 210,000
210,001 - 220,000
220,001 - 230,000
230,001 - 240,000
240,001 - 250,000
250,001 - 260,000
260,001 - 270,000
270,001 - 280,000
280,001 - 290,000
290,001 - 300,000
300,001 - 310,000
310,001 - 320,000
320,001 - 330,000
330,001 - 340,000
340,001 - 450,000
450,001 - 360,000
360,001 - 370,000
370,001 - 380,000
380,001 - 390,000
390,001 - 400,000
400,001 - 420,000
420,001 - 440,000
440,001 - 460,000
460,001 - 480,000
480,001 - 500,000
500,001 - 520,000
520,001 - 540,000
540,001 - 560,000
560,001 - 580,000
580,001 - 600,000
600,001 - 620,000
620,001 - 640,000
640,001 - 660,000
660,001 - 680,000
680,001 - 700,000
700,001 - 720,000
720,001 - 740,000
740,001 - 760,000
760,001 - 780,000
780,001 - 800,000
800,001 - 820,000
820,001 - 840,000
840,001 - 860,000
860,001 - 880,000
880,001 - 900,000
900,001 - 920,000
920,001 - 940,000
940,001 - 960,000
960,001 - 980,000
980,001 - 1,000,000
Over 1,000,000
ex. 110000 (estimate OK)
*10. Down
Payment Amount
ex. 10000 (estimate OK)
11. Rate
Type
12. Preferred
Loan Term
30
15
Years
Your Financial Information
*13. Credit Status (Help)
Select One
Poor, Major issues or Limited credit history
Fair, Recent issues or history of issues
Good, No recent issues
Excellent, Never any issues
(We can match you with Lenders, regardless of your credit)
*14. Annual
Gross Income (pre-tax)
Select One
Less than 20,000
20,000 - 29,999
30,000 - 39,999
40,000 - 49,999
50,000 - 59,999
60,000 - 69,999
70,000 - 79,999
80,000 - 89,999
90,000 - 99,999
100,000 - 119,999
120,000 - 139,999
140,000 - 159,999
160,000 - 179,999
180,000 - 199,999
Over 200,000 Per Year
ex. 55000 (estimate OK) (more info)
*15. Average
Monthly Debt Payments (Exclude housing)
Select One
0 - 249
250 - 499
500 - 749
750 - 1,000
Over 1,000
per monthPer Month ex. 2000 (estimate OK) (more info)
16. Have you ever declared bankruptcy?
No/Not in the last 7 years
5 - 7 years ago
2 - 5 years ago
1 - 2 years ago
Less than 12 months ago
17. Occupation
Status
Employed
Self-employed
Retired
Not employed
18. When do you want to close this loan?
30 Days
60 Days
90 Days
I have no time constraints
19. What
are your current loan goals?
I am looking for a Lender and comparing loans
I have a Lender, but am looking at other loan options
I am just checking rates
*20. Full Name
Note: Your First and Last Name
*21. Your Address
Note: Your Residence Street Address
*22. City
*23. State
*24. Zipcode
*25. Daytime Phone
ex. 6549324743
(including area code )
*26. Evening Phone
ex. 6549324743
(10 digits, please include area code )
27. Best Time to Call
Anytime
Morning
Afternoon
Evening
28. Time Zone
*29. E-mail address
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