|
First Name* |
Last Name* |
|
Company Name* |
|
Email * |
|
Daytime telephone* |
Fax * |
| ------- |
|
Mailing Address* |
|
City* |
State*
Zip* |
I am... |
Pick one* |
Information Needed to Get Instantly PRE-APPROVED for Your Purchase (or Refi)
|
|
Current Property Address |
|
City |
State
Zip |
|
Home Phone |
Alternate Phone |
------- |
|
Social Security Number |
Date of Birth |
------- |
|
Total Credit Card Debt -- approximate |
|
Hourly or Annual Salary -- before taxes |
|
Business Phone
|
Years on the Job |
|
Job Title |
|
Employer Address |
|
City |
State
Zip |
| ------- |
|
Are there any outstanding judgments against you? |
|
Have you been declared bankrupt within the past 7 years? |
|
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? |
|
Are you a party to a lawsuit? |
|
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? |
|
Are you presently delinquent or in default on any Federal debt or on any other loan, mortgage, financial obligation, bond, or loan guarantee? |
|
Are you obligated to pay alimony, child support, or separate maintenance? |
|
Is any part of the down payment borrowed? |
|
Are you a co-maker or endorser on a note? |
|
If you answered "Yes" to any of the nine questions above, please provide a brief explanation.
|
| |
|
|
Are you a US citizen? |
Are you a permanent resident alien? |
|
Do you intend to occupy the property as your primary residence? |
------- |
|
Down payment amount |
Extra cash-out amount |
|
To best help you,
please leave us information on what you're looking for:
- number of bedrooms/bathrooms
- cities
- price range
- etc.
|
When is the best time for us to call? |
Pick one |
|
|
