LOAN TYPELOAN PURPOSE*PURCHASEREFINANCE SELECT PROPERTY TYPEPROPERTY TYPE*Single FamilyTownhomeCondominiumMulti-FamilyManufactured Home WHAT IS THE PROPERTY USE?PROPERTY USE*Primary ResidenceSecond HomeInvestment Property HOW IS YOUR CREDIT?CREDIT SCORE*740+ Excellent700-739 Very Good660-699 Good620-659 FairBelow 620 Poor WHAT LOAN AMOUNT DO YOU NEED?ESTIMATED PURCHASE PRICE*DOWN PAYMENT AMOUNT*LOAN AMOUNTWHEN DO YOU EXPECT TO BUY?*I have a contract on a propertyI have a home picked outBuying within 30 daysBuying in 1-3 monthsBuying in 3-6 monthsBuying in 6-12 monthsTELL US ABOUT YOUR REFINANCE NEEDSREFINANCE PURPOSE*Lower Interest RateLower Monthly PaymentDebt ConsolidationHome ImprovementCash OutHOW MUCH CASH OUT DO YOU NEED*ESTIMATED CURRENT PROPERTY VALUE*1ST MORTGAGE BALANCE*1ST MORTGAGE PAYMENT?*DO YOU HAVE A SECOND MORTGAGE*YESNO2ND MORTGAGE BALANCE*2ND MORTGAGE PAYMENT* YOUR CONTACT INFORMATIONFIRST NAME:*LAST NAME:*EMAIL:* CELL PHONE #*HOME PHONE #Address:STREET ADDRESS:*CITY:*STATE:AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP CODE:*