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Refinance
1
LOAN & HOME TYPE
2
YOUR CREDIT
3
MILITARY SERVICE
4
ABOUT YOUR NEEDS
5
ABOUT YOURSELF
6
PROPERTY ADDRESS
7
CONTACT INFORMATION
Select Loan and Property Type
Select Loan type
*
Home Purchase
Home Refinance
Home Equity
Select Property Type
*
Single Family Residence
Multi Family
Condominium
Townhouse
Manufactured Home
Type of Occupancy
*
Primary Residence
Investment
Vacation Home
Your Credit Score?
How is your Credit?
*
Excellent 740+
Very Good 700-739
Good 680-699
Fair 640-679
Poor -639
Military Service
Eligible for VA Loan?
Yes
No
Your Current Loan(s) and Needs
Reason for Refinance
*
Reason for Refinance
Lower My Rate
Lower My Monthly Payment
Debt Consolidation
Combine 2+ Loans
Change Term (Years)
Take Cash Out
Estimated Property Value
*
Estimated Property Value
$100,001 - $125,000
$125,001 - $150,000
$150,001 - $175,000
$175,001 - $200,000
$200,001 - $225,000
$225,001 - $250,000
$250,001 - $275,000
$275,001 - $300,000
$300,001 - $325,000
$325,001 - $350,000
$350,001 - $375,000
$375,001 - $400,000
$400,001 - $425,000
$425,001 - $450,000
$450,001 - $475,000
$475,001 - $500,000
$525,001 - $550,000
$550,001 - $575,000
$575,001 - $600,000
$600,001 - $625,000
$625,001 - $650,000
$650,001 - $675,000
$675,001 - $700,000
$700,001 - $725,000
$725,001 - $750,000
$750,001 - $775,000
$775,001 - $800,000
$800,001 - $825,000
$825,001 - $850,000
$850,001 - $875,000
$875,001 - $900,000
$900,001 - $925,000
$925,001 - $950,000
$950,001 - $975,000
$975,001 - $1,000,000
$1,000,001 - $1,100,000
$1,100,001 - $1,200,000
$1,200,001 - $1,300,000
$1,300,001 - $1,400,000
$1,400,001 - $1,500,000
Above $1,500,000+
Your 1st Mortgage Balance
*
Your 1st Mortgage Balance
$0 (No 1st Mortgage)
$10,000 - $50,000
$50,001-$60,000
$60,001 - $70,000
$70,001 - $80,000
$80,001 - $90,000
$90,001 - $100,000
$100,001 - $110,000
$110,001 - $120,000
$120,001 - $130,000
$130,001 - $140,000
$140,001 - $150,000
$150,001 - $160,000
$160,001 - $170,000
$170,001 - $180,000
$180,001 - $190,000
$190,001 - $200,000
$200,001 - $210,000
$210,001 - $220,000
$220,001 - $230,000
$230,001 - $240,000
$240,001 - $250,000
$250,001 - $275,000
$275,001 - $300,000
$300,001 - $325,000
$325,001 - $350,000
$350,001 - $375,000
$375,001 - $400,000
$400,001 - $425,000
$425,001 - $450,000
$450,001 - $475,000
$475,001 - $500,000
$525,001 - $550,000
$550,001 - $575,000
$575,001 - $600,000
$600,001 - $625,000
$625,001 - $650,000
$650,001 - $675,000
$675,001 - $700,000
$700,001 - $725,000
$725,001 - $750,000
$750,001 - $775,000
$775,001 - $800,000
$800,001 - $825,000
$825,001 - $850,000
$850,001 - $875,000
$875,001 - $900,000
$900,001 - $925,000
$925,001 - $950,000
$950,001 - $975,000
$975,001 - $1,000,000
$1,000,001 - $1,100,000
$1,100,001 - $1,200,000
Above $1,200,000+
Your 1st Mortgage Interest Rate
*
Your 1st Mortgage Interest Rate
6.500%+
6.375%
6.250%
6.125%
6.000%
5.875%
5.750%
5.625%
5.500%
5.375%
5.250%
5.125%
5.000%
4.875%
4.750%
4.625%
4.500%
4.375%
4.250%
4.125%
4.000%
3.875%
3.750%
3.625%
3.500%
3.375%
3.250%
3.125%
Below 3.000%
Do you have a 2nd Mortgage?
*
Do you have a 2nd Mortgage?
Yes
No
Your 2nd Mortgage Balance
*
Your 2nd Mortgage Balance
$0 (No 2nd Mortgage)
$10,000 - $50,000
$50,001-$60,000
$60,001 - $70,000
$70,001 - $80,000
$80,001 - $90,000
$90,001 - $100,000
$100,001 - $110,000
$110,001 - $120,000
$120,001 - $130,000
$130,001 - $140,000
$140,001 - $150,000
$150,001 - $160,000
$160,001 - $170,000
$170,001 - $180,000
$180,001 - $190,000
$190,001 - $200,000
$200,001 - $210,000
$210,001 - $220,000
$220,001 - $230,000
$230,001 - $240,000
$240,001 - $250,000
$250,001 - $275,000
$275,001 - $300,000
$300,001 - $325,000
$325,001 - $350,000
$350,001 - $375,000
$375,001 - $400,000
$400,001 - $425,000
$425,001 - $450,000
$450,001 - $475,000
$475,001 - $500,000
$525,001 - $550,000
$550,001 - $575,000
$575,001 - $600,000
$600,001 - $625,000
$625,001 - $650,000
$650,001 - $675,000
$675,001 - $700,000
$700,001 - $725,000
$725,001 - $750,000
$750,001 - $775,000
$775,001 - $800,000
$800,001 - $825,000
$825,001 - $850,000
$850,001 - $875,000
$875,001 - $900,000
$900,001 - $925,000
$925,001 - $950,000
$950,001 - $975,000
$975,001 - $1,000,000
$1,000,001 - $1,100,000
$1,100,001 - $1,200,000
Above $1,200,000+
Your 2nd Mortgage Interest Rate
*
Your 2nd Mortgage Interest Rate
6.500%+
6.375%
6.250%
6.125%
6.000%
5.875%
5.750%
5.625%
5.500%
5.375%
5.250%
5.125%
5.000%
4.875%
4.750%
4.625%
4.500%
4.375%
4.250%
4.125%
4.000%
3.875%
3.750%
3.625%
3.500%
3.375%
3.250%
3.125%
Below 3.000%
Just a Few More Questions
Any Mortgage Late Payments?
*
Any Mortgage Late Payments?
Yes
No
1 x 30 Days Late in 12 Months
2 x 30 Days Late in 12 Months
90+ Days Late in 12 Months
Any Foreclosure in The Last 7 Years?
*
Any Foreclosure in The Last 7 Years?
Yes
No
Any Bankruptcy in The Last 7 Years?
*
Any Bankruptcy in The Last 7 Years?
Yes
No
Which Type of Loan Do You Have?
*
Which Type of Loan Do You Have?
Conventional
FHA
VA
Other Loan
No Loans (Free & Clear)
Applicant(s) Annual Income?
*
Applicant(s) Annual Income?
$0 - $50,000
$50,001 - $75,000
$75,001 - $100,000
$100,001 - $125,000
$125,001 - $150,000
Above $150,000+
About Your Employment
*
About Your Employment
Employed
Self Employed
Retired
Unemployed
Minimum Monthly Debts
*
Minimum Monthly Debts
$0 - $250
$251 - $500
$501 - $750
$751 - $1000
$1,001 - $1,500
$1,501 - $2,000
$2,000 - $2,500
Above $2500+
Property Address
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Your Contact Information
Name
*
First
Last
Email
*
Phone
