| Mortgage Information Request Short Form. Basic Information |
 |
Purpose of Mortgage or Loan: |
|
| Loan Amount: |
$
(Numbers Only) |
| Type of Property: |
|
Property Value:
(Sales price if buying, otherwise estimated value) |
$
(Numbers Only) |
 Approximate Zip Code or Location of the Property:
(Tip: If you have located the property, enter it's zip code.
If you are still looking for a property, and are not certain of
the exact location, enter multiple zip codes in the areas
you are looking for, or give the city and state with county
and/or neighborhood information. If you just need to be
prequalified, use the zip code of your current address.)
|
|
 If Refinancing, current mortgage company: |
|
| If Refinancing, current interest rate: |
|
 Would you like a free referral to a Real Estate
agent?
(This is optional and is not required to process your
mortgage information request. Select this only if you
are interested in speaking to a Real Estate agent and
are not currently working with a Real Estate agent.)
|
|
| Are you moving? |
|
| Your Date of Birth: |
(mm/dd/yyyy) |
| Your occupation: |
|
| How long have you been at your current job? |
|
| Yearly Household Income: |
$
(Numbers Only) |
|
Please describe your credit rating:
|
|
