Property & Loan Information
Step 1 of 5
1. Borrower Information
First Name
*
Middle Initial
Last Name
*
SSN
Home Phone
Cell Phone
Work Phone
Email
*
Date of Birth
(yyyy-mm-dd)
Current Residence
Rent
Own
Rent Free
Number of Years
Number of Months
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Col.
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
Zip Code
If residing at current address for less than two years, please complete the following:
Former Residence
Rent
Own
Rent Free
Number of Years
Number of Months
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Col.
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
Zip Code
2. Property Information
Use current address
Property Type
1 Unit
2 Units
3 Units
4 Units
CO-OP
Townhome
Manufactured Home
Warrantable Condo < 5 Stories
Warrantable Condo 5 to 8 Stories
Warrantable Condo > 8 Stories
Non-Warrantable Condo < 5 Stories
Non-Warrantable Condo 5 to 8 stories
Non-Warrantable Condo > 8 Stories
Condotel Condo < 5 Stories
Condotel Condo 5 to 8 Stories
Condotel Condo > 8 Stories
Detached Condo
Occupancy
Owner Occupied
Non-Owner Occupied
Second Home
Waive Escrow
Year Built
Address
City
State
*
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Col.
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
Zip Code
County
3. Loan Information
Loan Program
*
(receive up to 3 quotes)
Select a Program
FHA 30 Yr Fixed
15 year fixed
VA 30 Yr Fixed
30 year fixed
Govt RD 30 Yr Fixed
Other Products
Select a Program
FHA 30 Yr Fixed
15 year fixed
VA 30 Yr Fixed
30 year fixed
Govt RD 30 Yr Fixed
Other Products
Select a Program
FHA 30 Yr Fixed
15 year fixed
VA 30 Yr Fixed
30 year fixed
Govt RD 30 Yr Fixed
Other Products
Loan Purpose
*
Purchase
Refinance
Cash-Out Refinance
Home Equity
HELOC
Loan Amount
*
($)
Down Payment
($)
Property Value
*
($)
How would you rate your credit?
Excellent
Good
Fair
Poor
Have you found a home?
Yes
No
Would you like a loan officer to contact you?
Yes
No
When is the best time to contact you?
Mornings
Afternoons
Evenings
* Required
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