| Borrower Information |
|
Borrower
First
Name:
|
|
Borrower
Last
Name:
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1)
How
long
have
you
been
in
the
home? |
2)
What
do
you
think
your
property
is
worth
today? |
|
Purchase
Date
(Year):
|
Estimated Value:
|
| Existing
and
New
Loan
Information |
|
3)
Do
you
occupy
the
property? |
|
|
4)
What
is
the
payoff
on
the
1st
Mortgage? |
|
|
5)
What
is
your
Payment
on
the
1st
Mortgage? |
|
|
6)
Does
that
include
Taxes
and
Insurance? |
|
|
7)
What
is
your
Interest
Rate
on
the
1st
Mortgage? |
|
|
8)
What
type
of
property
is
this? |
|
|
9)
What
kind
of
Loan
Type
is
it? |
|
|
10)
Do
you
have
any
other
loans
on
the
property? |
(If
NO
Skip
to
Loan
Purpose) |
|
11)
What
is
the
payoff
on
the
Second
Mortgage? |
|
|
12)
What
is
your
Payment
on
the
Second
Mortgage? |
|
|
13)
What
is
your
Interest
Rate
on
the
Second
Mortgage? |
|
|
14)
What
kind
of
Loan
Type
is
it? |
|
| Loan
Purpose |
|
15)
What
is
the
total
balance
of
all
your
high
interest
rate
credit
cards? |
|
|
16)
Would
you
like
to
lower
your
payments
on
your
auto
or
truck
loans? |
|
|
17)
How
much
to
pay
off
those
vehicles? |
|
|
18)
Do
you
need
cash
out? |
Cash Out
|
|
How
Much:
|
| Qualification
Information |
|
19)
How
would
you
rate
your
credit? |
|
|
20)
In
order
to
get
you
the
best
rate
you
can
qualify
for,
our
loan
specialist
will
need
to
run
a
credit
check—okay? |
|
|
21) To run your credit, we need your social security number:
|
Privacy Policy
|
| Contact Information |
| Before submitting this information, please provide your e-mail address,
home phone and work phone (if available) below.
|
| 22)
What
is
your
Home Phone? |
23)
What
is
your
Email Address? |
|
|
| 24)
What
is
your
work number? |
|
|
| 25)
What
is
the
Property
Address
that
you are
Refinancing? |
|
|
|
| 26)
What
is
the
name
of
the
City? |
27)
What
is
your
State? |
28)
Zip? |
|
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| Special
Customer
Notes |
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