Default Lead Funnel | Vision Mortgage

1
SELECT A LOAN TYPE* This field is required.
Purchase
Refinance
Home Equity
2
SELECT A PROPERTY TYPE* This field is required.
Single Family
Multi Family
Condominium
Townhouse
Manufactured Home
3
WHAT IS THE PROPERTY USE?* This field is required.
Primary Home
Vacation Home
Investment Property
4
HOW IS YOUR CREDIT?* This field is required.
Below 580 (Poor)
580 – 669 (Fair)
670 – 739 (Good)
740 – 799 (Very Good)
800 – 850 (Excellent)
Other
5
HAVE YOU ALREADY FOUND A HOME?* This field is required.
YESNO
6
PURCHASE PRICE* This field is required.
Under $100,000
$100,000 – $249,999
$250,000 – $499,999
$500,000 – $749,999
$750,000 – $1,999,999
$2,000,000 or more
Other
7
MILITARY SERVICE?* This field is required.
YESNO
8
YOU EXPECT TO BUY WITHIN?* This field is required.
Soon
Next 6 Months
Next 60 Days
Not Very Soon
Other
9
FIRST TIME HOME BUYER?* This field is required.
YESNO
10
BANKRUPTCY IN LAST 2 YEARS?* This field is required.
YESNO
11
ANNUAL HOUSEHOLD INCOME?* This field is required.
Under $50,000
$75,000 – $99,999
$50,000 – $74,999
$100,000 – $149,999
$150,000 – $199,999
$200,000 or more
Other
12
MONTHLY DEBT PAYMENTS?* This field is required.
$0 – $499
$500 – $999
$1,000 – $1,999
$2,000 – $3,999
$4,000 – $6,999
$7,000 – $10,000+
Other
13
EMPLOYMENT STATUS* This field is required.
Employed
Self Employed
Retired
Unemployed
14
LOAN PURPOSE* This field is required.
Lower Interest Rate
Lower Monthly Payment
Debt Consolidation
Change Rate / Term
Home Improvement
Take Cash Out
Other
15
PROPERTY VALUE* This field is required.
Under $100,000
$100,000 – $249,999
$250,000 – $499,999
$500,000 – $749,999
$750,000 – $1,999,999
$2,000,000 or more
Other
16
1ST MORTGAGE BALANCE* This field is required.
Under $100,000
$100,000 – $249,999
$250,000 – $499,999
$500,000 – $749,999
$750,000 – $1,999,999
$2,000,000 or more
17
1ST MORTGAGE INTEREST RATE* This field is required.
Please Select
Please Select
2.000%
2.125%
2.250%
2.375%
2.500%
2.625%
2.750%
2.875%
3.000%
3.125%
3.250%
3.375%
3.500%
3.625%
3.750%
3.875%
4.000%
4.125%
4.250%
4.375%
4.500%
4.625%
4.750%
4.875%
5.000%
5.125%
5.250%
5.375%
5.500%
5.625%
5.750%
5.875%
6.000%
6.125%
6.250%
6.375%
6.500%
6.625%
6.750%
6.875%
7.000%
7.125%
7.250%
7.375%
7.500%
7.625%
7.750%
7.875%
8.000%
8.125%
8.250%
8.375%
8.500%
8.625%
8.750%
8.875%
9.000%
9.125%
9.250%
9.375%
9.500%
9.625%
9.750%
9.875%
10.000%
10.125%
10.250%
10.375%
10.500%
10.625%
10.750%
10.875%
11.000%
11.125%
11.250%
11.375%
11.500%
11.625%
11.750%
11.875%
12.000%
18
DO YOU HAVE A SECOND MORTGAGE?* This field is required.
YESNO
19
2ND MORTGAGE BALANCE* This field is required.
Under $100,000
$100,000 – $249,999
$250,000 – $499,999
$500,000 – $749,999
$750,000 – $1,999,999
$2,000,000 or more
Other
20
2ND MORTGAGE INTEREST RATE* This field is required.
Please Select
Please Select
2.000%
2.125%
2.250%
2.375%
2.500%
2.625%
2.750%
2.875%
3.000%
3.125%
3.250%
3.375%
3.500%
3.625%
3.750%
3.875%
4.000%
4.125%
4.250%
4.375%
4.500%
4.625%
4.750%
4.875%
5.000%
5.125%
5.250%
5.375%
5.500%
5.625%
5.750%
5.875%
6.000%
6.125%
6.250%
6.375%
6.500%
6.625%
6.750%
6.875%
7.000%
7.125%
7.250%
7.375%
7.500%
7.625%
7.750%
7.875%
8.000%
8.125%
8.250%
8.375%
8.500%
8.625%
8.750%
8.875%
9.000%
9.125%
9.250%
9.375%
9.500%
9.625%
9.750%
9.875%
10.000%
10.125%
10.250%
10.375%
10.500%
10.625%
10.750%
10.875%
11.000%
11.125%
11.250%
11.375%
11.500%
11.625%
11.750%
11.875%
12.000%
21
ANY LATE MORTGAGE PAYMENTS?* This field is required.
YESNO
22
ANY FORECLOSURE IN LAST 7 YEARS?* This field is required.
YESNO
23
WHAT TYPE OF LOAN DO YOU HAVE?* This field is required.
Conventional
FHA
VA
USDA
Jumbo Loan
I'm not sure
24
PROPERTY ZIP (OPTIONAL)* This field is required.
25
FULL NAME* This field is required.
First Name
Last Name
26
EMAIL* This field is required.
example@example.com
27
PHONE NUMBER* This field is required.
Please enter a valid phone number.
Should be Empty: