Mortgage Request Form

1

What city are you buying in?This will help connect you with a local professional

2

Are you a first time home buyer?* This field is required.

YESNO

3

Do you currently own a home?* This field is required.

YESNO

4

How far along are you in the process?* This field is required.

Figuring out what I can afford

Just looking at listings

Touring Homes

Pre-approved or Pre-qualified

Making offers or under contract

5

What would you like to achieve today?

Seeing how much I can afford

Viewing and comparing rates

Getting pre-qualified

6

How will you use your new home?* This field is required.This question will affect loan options

Primary residence

Secondary/vacation

Investment property

7

Are you or your spouse a veteran or active military?* This field is required.If so you may qualify for 0% down and no PMI

YESNO

8

How much do you have for a downpayment?* This field is required.Most programs require at least 3% down

9

Great. What is your annual income before taxes?* This field is required.This helps determine what you qualify for

10

What's your credit score? It's ok to estimate* This field is required.Your credit score affects your loan programs and interest rates you qualify for, also it will affect how much you have to put down

Excellent(720 and above)

Good(660-719)

Average(620-659)

Poor(580-619)

Bad(579 and below)

11

Are you self employed?* This field is required.

YESNO

12

Have you filed bankruptcy, foreclosure, or short sale in the last 7 years?* This field is required.

YESNO

13

Almost finished! What is your name?* This field is required.

First Name

Last Name

14

Nice to meet you! What is your email address?* This field is required.

example@example.com

15

What is the best phone number to reach you? A local lender will call to discuss your options.* This field is required.

Please enter a valid phone number.