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VA LOAN INQUIRY
1
Would you like to Purchase or Refinance?
VA PURCHASE LOAN
VA REFINANCE LOAN
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2
Are You a Veteran or Currently Serving in the Military?
YES
NO
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3
What state is the property in?
AL
AK
AZ
AR
CA
CZ
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
AL
AK
AZ
AR
CA
CZ
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
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4
What is your credit history?
*
This field is required.
Excellent (720+)
Good (680 - 719)
Fair (620 - 679)
Poor (619 and Below)
Not Sure
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5
Name
*
This field is required.
First Name
Last Name
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6
Email
*
This field is required.
example@example.com
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7
Phone Number
*
This field is required.
Area Code
Phone Number
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