Home Purchase
Refinance - Debt Consolidation - Home Equity
Purchase
Refinance
|
Equity Line of Credit
About Your Loan Program
Loan Program
Loan Purpose
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30 Year Fixed
15 Year Fixed
5 Yr Balloon
7 Yr Balloon
1/1 ARM
3/1 ARM
5/1 ARM
7/1 ARM
VA 30 Yr
FHA 30 Yr
FHA ARM
Other/See Comments
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Rate/Term Refinance
Cash-Out Refi
No Cash-Out Refi
Second Mortgage
Home Improvement
Debt Consolidation
Other/See Comments
Loan Amount ($)
Property Value ($)
Estimated Timeframe
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< 30 Days
30-60 Days
60-90 Days
Not Sure 120
Property Information
Property Type
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Single family
Condo
Commercial
Investment
Co-op
Mobile Home
Multi Family
Address
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Zip
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AR
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DE
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OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Refinance Information
1st Mortgage Balance($)
1st Mortgage Payment($)
1st Mortgage Rate %
2nd Mortgage Balance($)
2nd Mortgage Payment($)
2nd Mortgage Rate %
Borrower Information
First Name
Last Name
Social Security Number
Daytime Phone
Evening Phone
Email
Employment Information
Self Employed
Years Employed
Annual Income($)
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Yes
No
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1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Income and Expense Information
Monthly Expenses($)
Credit History
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Excellent
Good
Fair
Poor
Comments