Please fill out the contact information below as well as the loan information section. 

Once you have completed those sections you may choose from the purchasing, refinancing or 2nd loan section for specific requests depending on the type of loan you are interested in. Simply click on the submit button when finished. Thank you for visiting our site. One of our helpful loan officers will be contacting you! 

CONTACT INFORMATION

Name   
Property Address
Property Address 
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
FAX
E-mail

PLEASE MAKE SURE TOP SECTION IS COMPLETE  BEFORE PROCEEDING

 LOAN INFORMATION

Loan: What kind of loan are you interested in?


Loan Amount : Enter the loan amount you are requesting:

$

Loan Options: Please select the type of loan you are interested in:


Annual Household Income: Please enter your annual household income before taxes:

$

Credit History: Please select an option regarding your credit history:



PURCHASE SECTION: (skip to next section if refinancing.)

If you are planning to purchase a home, please answer the following question ( if not skip to refinancing or credit line/equity loan section)

 

Are you planning on purchasing a home?


Please choose an answer regarding your involvement with a Realtor:


I expect to buy a home worth:

$

I expect to put what % as a down payment? Estimate:

%


REFINANCING (skip to next section if you are interest in a 2nd mortgage)

 

If you are refinancing and know what the property should appraise for please enter the amount:

$

Enter existing loans on property:

1st loan balance   
2nd loan balance  
3rd loan balance  

Select your current loan type:



SECOND MORTGAGES 

Please select what type of loan you are interested in:


Existing loans on your property:

1st loan $

Existing loans on your property:

2nd loan $

Do any of the loans have negative amortization?

Yes
No
Don't Know


PURPOSE OF LOAN

What is the main reason for the loan?



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Revised: June 29, 2004