Purchase or Refinance Epic

1
What would you like to do?* This field is required.
Purchase
Refinance
2
Lead Source
JF 1
Type option 2
Type option 3
3
Lead Status Reset to New
NEW
Stage 1 (New)
Type option 3
Type option 4
4
What type of property?* This field is required.
Single Family
Condo
Townhome
Multi-Family
Manufactured
Construction
5
Occupancy* This field is required.
Primary Residence
Second / Vacation Home
Investment Property
6
When do you want to buy?* This field is required.
Right now, I signed a purchase agreement
ASAP, I found a house or submitted an offer
Within a few months
Not sure yet
7
Do you have a price range in mind?
Less than $100,000.00
$100,000 - $200,000
$200,000 - $300,000
$300,000 - $400,000
$400,000 - $500,000
$500,000 - $600,000
$600,000 or more
Not sure yet.
8
Have you served in the military?
YESNO
9
How would you rate your credit?* This field is required.
Excellent (720+)
Good (680-719)
Fair (620-679)
Low (580-619)
Below 580
10
State (Where Property is Located)* This field is required.
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
11
Why Do You Want To Refinance?
Lower My Rate
Cash Out / Debt Consolidation
Change My Loan Term
Cash out / Home Improvement
12
How Much Do You Currently Owe On Your Home?
13
How Much is Your Home Worth?
14
What Is You Current Mortgage Interest Rate?
15
What Type of Loan is Your Current Mortgage?
Conventional
VA
FHA
USDA
I Don't Know
16
Email for us to send this info to* This field is required.
example@example.com
17
What your friends call you* This field is required.
First Name
Last Name
18
Phone Number* This field is required.By submitting this form, I agree to be contacted by Epic Home Mortgage, LLC NMLS#2611257. Epic may use calls, email, and/or SMS/MMS text messaging even if my number is on any DNC Registry. Message and data rates may apply. Reply HELP for help. Reply STOP to unsubscribe from SMS messages. Up to 4 messages.
Please enter a valid phone number.
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