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This
Loan Will Be
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* Denotes Mandatory
Fields |
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Borrower Information |
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*
Borrower's Name
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Co-Borrower's Name
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*
Current Address *
City
*
State
*
Zip |
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*
Home Phone
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*
Email Address
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Email Address
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*
How would you rate your credit
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How would you rate their credit
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Your Social Security Number
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Their Social Security Number
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Your Date Of Birth
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Their Date Of Birth
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Marital Status
Single
Married
Separated |
Marital Status
Single
Married
Separated |
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Loan Information |
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* What State Is
The Property In?
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What Type of Loan do you prefer |
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*
The property is my:
Primary Residence
Second
Home
Investment |
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*
The type of home is:
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Property Information |
| Refinance
Mortgage |
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*
Desired Loan Amount
Whole Numbers Only, No Commas,Periods, ect. |
* Your current mortgage balance:
Whole Numbers Only, No Commas,Periods, ect. |
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*
Property Value
Whole Numbers Only, No Commas,
Periods, ect. |
*
What Is Your Interest Rate?
Whole Numbers Only, No Commas,Periods, ect. |
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What Is The
Purpose Of The Refinance
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What Is Your Monthly
Payment?
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How Soon Before
You Refinance?
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Does it include taxes and insurance?
Yes
No
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Employment |
| Borrower |
Co-Borrower |
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*
Current Employer
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Current Employer
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*
Position
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Position
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*
Years There
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Years There
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*
Work Phone
*
Monthly Income
*
Total Monthly Debt
*
Assets
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Work Phone
Monthly Income
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Have
you ever had a bankruptcy?
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Have you ever had a Foreclosure?
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*Referred By:
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