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Type of Loan*—Please choose an option—Home RefinanceHome PurchaseHome EquityDebt ConsolidationReverseCommercial LoanSBA LoanBusiness LoanVA Loan
Home Description* —Please choose an option—Single FamilyMulti-FamilyCondominiumTownhouseMobile/Manufactured
Your Credit Profile*—Please choose an option—ExcellentGoodFairPoor
Home will be used for*—Please choose an option—Primary ResidenceVacation / Second HomeInvestment Property
First-time home buyer?*—Please choose an option—NoYes
Purchase price of home*—Please choose an option—50,001 - 55,00055,001 - 60,00060,001 - 65,00065,001 - 70,00070,001 - 75,00075,001 - 80,00080,001 - 85,00085,001 - 90,00090,001 - 95,00095,001 - 100,000100,001 - 105,000105,001 - 110,000110,001 - 115,000115,001 - 120,000120,001 - 125,000125,001 - 130,000130,001 - 135,000135,001 - 140,000140,001 - 145,000145,001 - 150,000150,001 - 155,000155,001 - 160,000160,001 - 165,000165,001 - 170,000170,001 - 175,000175,001 - 180,000180,001 - 185,000185,001 - 190,000190,001 - 195,000195,001 - 200,000200,001 - 210,000210,001 - 220,000220,001 - 230,000230,001 - 240,000240,001 - 250,000250,001 - 260,000260,001 - 270,000270,001 - 280,000280,001 - 290,000290,001 - 300,000300,001 - 310,000310,001 - 320,000320,001 - 330,000330,001 - 340,000340,001 - 350,000350,001 - 360,000360,001 - 370,000370,001 - 380,000380,001 - 390,000390,001 - 400,000400,001 - 420,000420,001 - 440,000440,001 - 460,000460,001 - 480,000480,001 - 500,000500,001 - 520,000520,001 - 540,000540,001 - 560,000560,001 - 580,000580,001 - 600,000600,001 - 620,000620,001 - 640,000640,001 - 660,000660,001 - 680,000680,001 - 700,000700,001 - 720,000720,001 - 740,000740,001 - 760,000760,001 - 780,000780,001 - 800,000800,001 - 820,000820,001 - 840,000840,001 - 860,000860,001 - 880,000880,001 - 900,000900,001 - 920,000920,001 - 940,000940,001 - 960,000960,001 - 980,000980,001 - 1,000,0001,000,001 - 1,250,0001,250,001 - 1,500,0001,500,001 - 1,750,0001,750,001 - 2,000,000Over 2,000,000
Estimated down payment*—Please choose an option—0% Down3% Down5% Down10% Down15% Down20% Down25% Down30% Down35% Down40% Down45% Down50% Down55% Down60% Down65% Down70% Down75% Down80% Down85% Down90% Down95% Down100% Down
Desired type of rate*
When are you likely to buy a home?*—Please choose an option—Immediately1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 MonthsMore than 1 year
Purchase Year* —Please choose an option—2021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949
Estimated Home Value*—Please choose an option—50,001 - 55,00055,001 - 60,00060,001 - 65,00065,001 - 70,00070,001 - 75,00075,001 - 80,00080,001 - 85,00085,001 - 90,00090,001 - 95,00095,001 - 100,000100,001 - 105,000105,001 - 110,000110,001 - 115,000115,001 - 120,000120,001 - 125,000125,001 - 130,000130,001 - 135,000135,001 - 140,000140,001 - 145,000145,001 - 150,000150,001 - 155,000155,001 - 160,000160,001 - 165,000165,001 - 170,000170,001 - 175,000175,001 - 180,000180,001 - 185,000185,001 - 190,000190,001 - 195,000195,001 - 200,000200,001 - 210,000210,001 - 220,000220,001 - 230,000230,001 - 240,000240,001 - 250,000250,001 - 260,000260,001 - 270,000270,001 - 280,000280,001 - 290,000290,001 - 300,000300,001 - 310,000310,001 - 320,000320,001 - 330,000330,001 - 340,000340,001 - 350,000350,001 - 360,000360,001 - 370,000370,001 - 380,000380,001 - 390,000390,001 - 400,000400,001 - 420,000420,001 - 440,000440,001 - 460,000460,001 - 480,000480,001 - 500,000500,001 - 520,000520,001 - 540,000540,001 - 560,000560,001 - 580,000580,001 - 600,000600,001 - 620,000620,001 - 640,000640,001 - 660,000660,001 - 680,000680,001 - 700,000700,001 - 720,000720,001 - 740,000740,001 - 760,000760,001 - 780,000780,001 - 800,000800,001 - 820,000820,001 - 840,000840,001 - 860,000860,001 - 880,000880,001 - 900,000900,001 - 920,000920,001 - 940,000940,001 - 960,000960,001 - 980,000980,001 - 1,000,0001,000,001 - 1,250,0001,250,001 - 1,500,0001,500,001 - 1,750,0001,750,001 - 2,000,000Over 2,000,000
1st Mortgage Balance* —Please choose an option—5,001 - 10,00010,001 - 15,00015,001 - 20,00020,001 - 25,00025,001 - 30,00030,001 - 35,00035,001 - 40,00040,001 - 45,00045,001 - 50,00050,001 - 55,00055,001 - 60,00065,001 - 70,00070,001 - 75,00075,001 - 80,00080,001 - 85,00085,001 - 90,00090,001 - 95,00095,001 - 100,000100,001 - 105,000105,001 - 110,000110,001 - 115,000115,001 - 120,000120,001 - 125,000125,001 - 130,000130,001 - 135,000135,001 - 140,000140,001 - 145,000145,001 - 150,000150,001 - 155,000155,001 - 160,000160,001 - 165,000165,001 - 170,000170,001 - 175,000175,001 - 180,000180,001 - 185,000185,001 - 190,000190,001 - 195,000195,001 - 200,000200,001 - 210,000210,001 - 220,000220,001 - 230,000230,001 - 240,000240,001 - 250,000250,001 - 260,000260,001 - 270,000270,001 - 280,000280,001 - 290,000290,001 - 300,000300,001 - 310,000310,001 - 320,000320,001 - 330,000330,001 - 340,000340,001 - 350,000350,001 - 360,000360,001 - 370,000370,001 - 380,000380,001 - 390,000390,001 - 400,000400,001 - 420,000420,001 - 440,000440,001 - 460,000460,001 - 480,000480,001 - 500,000500,001 - 520,000520,001 - 540,000540,001 - 560,000560,001 - 580,000580,001 - 600,000600,001 - 620,000620,001 - 640,000640,001 - 660,000660,001 - 680,000680,001 - 700,000700,001 - 720,000720,001 - 740,000740,001 - 760,000760,001 - 780,000780,001 - 800,000800,001 - 820,000820,001 - 840,000840,001 - 860,000860,001 - 880,000880,001 - 900,000900,001 - 920,000920,001 - 940,000940,001 - 960,000960,001 - 980,000980,001 - 1,000,0001,000,001 - 1,250,0001,250,001 - 1,500,0001,500,001 - 1,750,0001,750,001 - 2,000,0001,750,001 - 2,000,0002,000,000 or more
1st Mortgage Interest Rate* —Please choose an option—11+10.7510.5010.2510.009.759.509.259.008.758.508.258.007.757.507.257.006.756.506.256.005.755.505.255.004.754.504.254.003.753.503.253.002.752.502.252.00
Existing Type of Rate*AdjustableFixedDon't Know
2nd Mortgage Balance (Select if Applicable)—Please choose an option—5,001 - 10,00010,001 - 15,00015,001 - 20,00020,001 - 25,00025,001 - 30,00030,001 - 35,00035,001 - 40,00040,001 - 45,00045,001 - 50,00050,001 - 55,00055,001 - 60,00065,001 - 70,00070,001 - 75,00075,001 - 80,00080,001 - 85,00085,001 - 90,00090,001 - 95,00095,001 - 100,000100,001 - 105,000105,001 - 110,000110,001 - 115,000115,001 - 120,000120,001 - 125,000125,001 - 130,000130,001 - 135,000135,001 - 140,000140,001 - 145,000145,001 - 150,000150,001 - 155,000155,001 - 160,000160,001 - 165,000165,001 - 170,000170,001 - 175,000175,001 - 180,000180,001 - 185,000185,001 - 190,000190,001 - 195,000195,001 - 200,000200,001 - 210,000210,001 - 220,000220,001 - 230,000230,001 - 240,000240,001 - 250,000250,001 - 260,000260,001 - 270,000270,001 - 280,000280,001 - 290,000290,001 - 300,000300,001 - 310,000310,001 - 320,000320,001 - 330,000330,001 - 340,000340,001 - 350,000350,001 - 360,000360,001 - 370,000370,001 - 380,000380,001 - 390,000390,001 - 400,000400,001 - 420,000420,001 - 440,000440,001 - 460,000460,001 - 480,000480,001 - 500,000500,001 - 520,000520,001 - 540,000540,001 - 560,000560,001 - 580,000580,001 - 600,000600,001 - 620,000620,001 - 640,000640,001 - 660,000660,001 - 680,000680,001 - 700,000700,001 - 720,000720,001 - 740,000740,001 - 760,000760,001 - 780,000780,001 - 800,000800,001 - 820,000820,001 - 840,000840,001 - 860,000860,001 - 880,000880,001 - 900,000900,001 - 920,000920,001 - 940,000940,001 - 960,000960,001 - 980,000980,001 - 1,000,0001,000,001 - 1,250,0001,250,001 - 1,500,0001,500,001 - 1,750,0001,750,001 - 2,000,0001,750,001 - 2,000,0002,000,000 or more
2nd Mortgage Rate (Select if Applicable)—Please choose an option—11+10.7510.5010.2510.009.759.509.259.008.758.508.258.007.757.507.257.006.756.506.256.005.755.505.255.004.754.504.254.003.753.503.252.752.502.252.00
Gross Annual Income*—Please choose an option—Less than 30,00030,000 - 34,99935,000 - 59,99960,000 - 74,99975,000 - 89,99990,000 - 104,999105,000 - 120,000Over 120,000
Employment Status* —Please choose an option—EmployedSelf-EmployedRetiredNot Employed
Time With Employer* —Please choose an option—Less than one year1 to 2 Years3 to 5 YearsMore than 5 years
Name of Employer*
Bankruptcy in the past 7 years?* —Please choose an option—NoYes
Email Address*
First Name*
Last Name*
Address*
City*
State* —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDetroitFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip Code*
Phone Number*
Alternative Phone
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