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
  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
  Zip Code
 
2. Property Information   Use current address
  Property Type
  Occupancy
  Waive Escrow
  Year Built
  Address
  City
  State*
  Zip Code
  County
 
3. Loan Information
  Loan Program*(receive up to 3 quotes)
   
   
  Loan Purpose*
  Loan Amount*($)
  Down Payment($)
  Property Value*($)
  How would you rate your credit?
  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?
  Would you like to receive emailed rate quotes? Yes      No                            
* Required  
 
 
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