Need Help with a Mortgage

Mortgage Application

Instructions:

1. Complete the General Section.
2. Complete the section that applies to your needs:
• The Purchase Section only if buying a home.
• The Refinance Section only if refinancing.
• The Second Mortgage Section if applying for credit line/equity loan.
3. Click on the Send Request button.

I will be in touch with you shortly to discuss your financing options.

PERSONAL INFORMATION

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Contact Information
Your Name:
Home Telephone:
Work Telephone:
E-mail Address:
Best Time to Reach Me:
Property Location
City:
State:
Loan Information
Loan Request:	Purchase Refinance Credit Line Home Improvement Other, please describe:
Loan Amount Desired:	$
Type of Loan Desired:	30 yr fixed 15 yr fixed 30/5 yr fixed 30/7 yr fixed Adjustable Haven't decided Other, please state:
Personal Information
Annual Household Income:	$
My Credit History:	Excellent Good, but some lates Some credit problems Major credit problems Don't know

HOME PURCHASE INFORMATION

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FILL THIS OUT IF PURCHASING A HOME
Please skip to the next section if refinancing.

Time Frame:	Thinking about it Actively Looking About to make an offer Have a sales contract
Real Estate Professional Information:	I am working with a Real Estate Professional Please refer me to a Real Estate Professional I am buying directly from the seller I am buying directly from the builder
Purchase Price:	I expect to buy a home between $ and $
Down Payment:	I expect to put between  % and  % down

REFINANCE INFORMATION

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FILL THIS OUT ONLY IF REFINANCING
Please skip to the next section if applying for a second mortgage.

Property Value:	The property should appraise for $ Don't know
Existing Loans on Property:	1st loan balance $ 2nd loan balance $ 3rd loan balance $
Reason for Refinancing:	Reduce Interest rates Change from fixed to adjustable Change from adjustable to fixed Need cash out.Amount: $ Other, please specify...
Current Loan Type:	Fixed Adjustable Other, please specify...

SECOND MORTGAGE INFORMATION

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FILL THIS OUT IF REQUESTING A SECOND MORTGAGE, CREDIT LINE, OR HOME IMPROVEMENT LOAN.

Type of Loan:	Credit line Fixed 2nd mortgage Other, please state...
Existing Loans on Property:	1st loan $ 2nd loan $ Do any of the loans have negative amortization? Yes No Don't know
Reason for Loan:	Home improvement Pay off bills Other, please specify...

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