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25
Questions
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1
What are you looking to do?
*
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Buy a home
Refinance my current home
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2
Timeframe to buy
*
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Within 1 month
1 to 3 months
3 to 6 months
6+ months
Just exploring
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3
Property type
*
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Single-family
Condo
Townhome
Multi-unit (2-4)
Manufactured
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4
What is your goal for the refinance?
*
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Lower my rate/payment
Take cash out
Shorten my term
Remove PMI
Consolidate debt
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5
Are you currently working with another lender on this refinance?
*
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Yes
No
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6
Estimated credit score
*
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Excellent 740+
Good 700-739
Fair 660-699
Below 660
Not sure
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7
Employment status
*
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W-2 employee
Self-employed
Retired
Other
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8
Combined annual income for everyone on the loan
*
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in US dollars
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9
Estimated purchase price
*
This field is required.
Under $300K
$300K-500K
$500K-750K
$750K-1M
$1M-1.5M
$1.5M+
Not sure yet
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10
Estimated purchase price
in US dollars
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11
How much do you have saved for down payment and closing costs?
in US dollars
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12
Current home value estimate
in US dollars
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13
Current mortgage balance
in US dollars
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14
Current interest rate on your primary mortgage (percent)
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15
Any bankruptcy, foreclosure, or loan modification in the last 2 years?
*
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Yes
No
Prefer not to say
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16
State
*
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Please Select
Alabama
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
Please Select
Please Select
Alabama
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
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17
City
*
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18
First name
*
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19
Last name
*
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20
Email
*
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example@example.com
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21
Mobile phone
*
This field is required.
Please enter a valid phone number.
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22
Preferred contact method
*
This field is required.
Text
Phone call
Email
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23
Best time to reach you
*
This field is required.
Morning
Midday
Afternoon
Evening
Anytime
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24
Promotional consent:
I consent to receive marketing and promotional messages, including special offers, discounts, and new product/service updates from Krevoy Team Marketing Inc dba Homebuyer Headstart. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt out. By submitting this form you acknowledge our
Terms of Service
and
Privacy Policy
.
I agree
I do not agree
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25
Transactional:
I consent to receive transactional messages related to services I have requested from Krevoy Team Marketing Inc dba Homebuyer Headstart. These messages may include appointment confirmations, reminders, and follow-up communications. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt out. By submitting this form you acknowledge our
Terms of Service
and
Privacy Policy
.
I agree
I do not agree
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26
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27
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28
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29
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30
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31
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32
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33
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34
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