Personal Information Section
All information is strictly
confidential.
State
Zip
Phone
# 000-000-0000
Your
E-mail Address
Are
you purchasing a home, or refinancing the one your in now?
Purchasing a new home
Refinancing an exising home
If
your purchasing a home, or this is an investment property, please put it's address here.
When
would you like this loan?
Month
January
February
March
April
May
June
July
September
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1999
2000
Would
you prefer a fixed, or adjustable rate?
Fixed Rate Mortgage
Adjustable Rate Mortgage
FNMA
VA
What
type of property is it?
Single family residence
Condo
Townhome
2 family residence (duplex)
3-4 family residence
Manufactured home
Mobile home
Personal
use or investment property?
I indend to occupy it
Investment property
Financial Information Section
All information is strictly
confidential.
What
is the combined monthly income of yourself and any co-borrowers?
If
you are refinancing, how do you plan to use the money?
To consolidate debts only (no cash out)
To take cash out and leave exsisting debt
To take out cash and reduce debt
To reduce the rate on your mortgage
How
much do you pay in bills every month excluding your mortgage?
About
how much is your home worth?
About
how much would you like to borrow?
Are
you self employed?
Click if you are self employed
How
long have you been at your job?
years
How
long has your co-borrower been at their job?
years
Any
bankruptcy's or foreclosures in the past 7 years?
No bankruptcy's or Foreclosure
Bankruptcy
Foreclosure
yes, but over two years ago
yes, within the last two years
How
would you rate your credit?
My credit is excellent
My credit is good (a few lates)
I have had a few motgage lates
I have major credit problems
What
is the best time to call you?
What
is the best number to reach you at?
Please
tell us if you have any comments, or concerns about this loan, all information is helpful.
Please press "Submit" to send your
request to us.
If you need to start over you can press the "Reset" button to erase all you have
entered.
This message will be forwarded to our office within the hour, and I will be in contact
with you very soon.
As a mortgage professional, it's my job
to help you get the best mortgage based on the information that you provide me. I
will be available to answer your questions and educate you about your options. If
you feel funny about placing certain information here that is ok. But I can serve
you the best by having the most up to date information, and all the facts. As a
professional, you can trust in me to give you the best advice based on the facts. I
sincerely look forward to working with you to help you get the best mortgage possible.