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1

Purpose of the loan for your rate quote?* This field is required.

Purchase

Refinance

2

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

Single Family Home

Townhome

Condominium

Multi Family Home

Manufactured or Mobile Home

3

Great! What type of property are you purchasing?* This field is required.

Single Family Home

Townhome

Condominium

Multi Family Home

Manufactured or Mobile Home

4

Purpose of your refinance?* This field is required.

Get a lower interest rate

Get a new loan term

Get cash out of your home

Get a lower monthly payment

5

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

Primary residence

2nd/vacation Home

Investment property

6

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

Primary residence

2nd/vacation Home

Investment property

7

Zip code of the property?* This field is required.

8

What city is the property located in?* This field is required.

9

Estimated property value?* This field is required.$

10

Estimated purchase price?* This field is required.$

11

How much are you putting down?* This field is required.%

12

Is this your first time buying a home?* This field is required.

Yes

No

13

Do you need to sell your home first?* This field is required.

Yes

No

14

Remaining balance on current 1st mortgage?* This field is required.$

15

Do you have a second mortgage?* This field is required.

Yes

No

16

Do you have a co-borrower?* This field is required.

Yes

No

17

How much is the balance?* This field is required.$

18

What is your annual income?* This field is required.$

19

What is your combined annual household income?* This field is required.$

20

Would you like to borrow any additional cash?* This field is required.$

21

Estimated credit score?* This field is required.

Excellent 720+

Fair 640-679

Good 680-719

Poor 639 or lower

22

What year were you born?

23

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

Yes

No

24

Do you currently have a VA loan?* This field is required.

Yes

No

25

Have you had a bankruptcy or foreclosure in the last 7 years?* This field is required.

Foreclosure

Bankruptcy

Neither

Both

26

How many years ago was the foreclosure?* This field is required.

27

How many years ago was the bankruptcy?* This field is required.

28

Are you currently employed?* This field is required.

Full-Time

Part-Time

Self-Employed

No, I'm not employed

29

What is your Full Name?* This field is required.

First Name

Last Name

30

What is your Email Address?* This field is required.

31

What is your Phone Number?* This field is required.

Please enter a valid phone number.