Arrowhead Capital Mortgage Returning Client/Info Request

1

Are you wanting to purchase a home or refinance your home?

Purchase

Refinance

2

If purchasing, what is your desired purchase price? If refinancing, approximately how much do you owe?

$0 - $200,000

$200,001 - $350,000

$350,001 - $500,000

$500,001 - $650,000

$650,001 - $800,000

$800,000+

3

Is this your first property purchase?

YESNO

4

What is your current property purchase situation?

Signed a Purchase Agreement

Offer Pending/Found Property

Buying in 2-6 Months

Researching Options

5

What is the purchase price of the new property?Number you enter is the dollar amount in thousands.

6

Will you be purchasing or refinancing a primary home, secondary home or a rental property?

Primary Home

Secondary Home

Rental Property

7

What is your estimated down payment?Enter the number in percentage you would like to put down.

8

What kind of rate do you prefer?

Adjustable

Fixed

9

What is your gross annual household income?Enter the number in percentage you would like to put down.

10

What is your employment status?

Employed

Social Security/Retirement

Self-Employed

Other

11

What is your annual household income?

12

Did you have a bankruptcy, short sale or foreclosure in the last 3 years?

YESNO

13

Can you show proof of income?

YESNO

14

Are you working with a real estate agent?

YESNO

15

What is your name?* This field is required.

First Name

Last Name

16

What is your email address?* This field is required.

17

What is your phone number?* This field is required.

Area Code

Phone Number

18

Is there any other information you might have for us that we should know? Any other questions?