Mortgage Free Life (MFL) Pay off your Mortgage Early without changing your lifestyle
Complete this form to see if you qualify for the Mortgage Free Life program. Your responses will help us determine your eligibility and next steps. Your Agent is Crystal Brown, please reach out to me directly at 816-277-9800
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Self DOB
*
-
Month
-
Day
Year
Date
Marital Status
Single
Married
Separated
Divorced
Widowed
Domestic Partnership
Other
Spouse Name
First Name
Last Name
Spouse Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Spouse Email
example@example.com
Spouse DOB
-
Month
-
Day
Year
Date
Property Location (State)
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
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
Property Type
*
Single Family Home
Condo/Townhome
Multi-Family (2-4 units)
Other (please specify)
Do you currently have a mortgage on this property?
*
Yes
No
What types of debts or major expenses would you like to pay off?
*
Mortgage
Credit Cards
Auto Loans
Student Loans
Medical Bills
Home Improvements
Other
Are you willing to share your financial numbers (e.g., mortgage balance, income, debts) to help us determine your eligibility?
*
Yes, I am willing to share my financial numbers
No, I am not willing at this time
Property Address - Street
*
Property Address - City
*
Property Address - State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
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
Property Address - ZIP
*
Fair Market Value of Property
*
Current Mortgage Balance
*
Current Interest Rate (APR)
*
Years Remaining on Current Mortgage
*
Monthly Mortgage Payment (with taxes & insurance)
*
Property Classification
*
Primary Residence
Secondary Residence
Investment Property
Net Household Monthly Income
*
Estimated Monthly Expenses
*
Liquid Savings
*
Current Credit Score
*
Additional Debts/Loans
*
Rows
Loan Type
Current Bal
Interest Rate
Monthly Payment
Loan 1
Loan 2
Loan 3
Loan 4
Loan 5
Notes / Additional Loans
I understand I must complete the full intake form before a Zoom call can be scheduled.
*
Submit
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