Online Refinance Form (FMF)

1

Loan Officer

2

Employee Email

example@example.com

3

Employee Phone

Please enter a valid phone number.

4

Interested In

5

Deal Source

6

What is your ZIP Code?* This field is required.

7

How is this property being used?* This field is required.

Primary Residence

Secondary Home

Investment

Unknown

8

What type of property are you refinancing?* This field is required.

Single-Family Home

Condominium

Townhome

Multi-Family Home

Unknown

9

Have you or your spouse ever served in the military?* This field is required.

Actively Serving

Veteran

I have never served

12

What is your property currently worth?* This field is required.

$750k or More

$250k-$500k

$250k or Less

Unknown

13

Are you looking to pull cash out?* This field is required.

Yes

No

I don't know

14

What is your name?* This field is required.

First Name

Last Name

15

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

example@example.com

16

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

Please enter a valid phone number.