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Preliminary Loan Information Form

Use this form to request mortgage information.    Do you need assistance?  Call or email today.  Fill out the General Information section first, then the other sections based on your individual needs:

  • Fill out the Purchase section if you're buying a home;

  • Fill out the Refinance section if you're refinancing your home;

  • Fill out the Credit Line/Equity loan section if you're applying for a 2nd mortgage, credit line, or home improvement loan.

When you're finished, click on the send button.    You will receive a prompt answer!

General Information (Please fill out for all types of loans. Be sure to include a phone #)

Name: 
Home Phone:  Work Phone:
E-mail:  Fax:
Best time to call: 
Property Location - City:  State:
Loan Request: 
If "other"... (Please type in here)
Loan Amount Desired: $    Loan Type:
Annual Household Income: $

Credit History:

  

Purchase Section (Please fill out if you're purchasing property)

Status:

If "other"... (Please type in here)

Purchase Price Range:   Between  $ and $

Down Payment Range:   Between $ and $

or Down Payment Percent: Between % and %

Refinance Section (Please fill out if you're refinancing property)

Property Value: Property Should Appraise for $

Existing Loans on Property:   1st Loan Balance $

2nd Loan Balance $ 3rd Loan Balance $

Reason for Refinancing:

If "other"... (Please type in here)

Current Loan Type: 

If "other"... (Please type in here)

Second Mortgage Section (Please fill out for 2nd Mortgages, Credit Lines, or Home Improvement Loans)

Type of Loan: 

If "other"... (Please type in here) 

Existing Loans on the property:

1st Loan Balance $

2nd Loan Balance $

Reason for Loan

If "other"...(Please type in here)

General Comments


Thank you for your information, just click on SEND to contact me!