Apply For a Home Loan
Home Purchase & Home
Refinance Quick Application
Thank you for providing us the
opportunity to provide you with a FREE OF CHARGE HOME LOAN QUOTE. Please make sure to answer the following questions as
accurately as possible. We will provide you with a customized Cost
Analysis report via email very shortly!
Personal Information
Name
Street Address
City
State
- Select One -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
D.C.
Delaware
Florida
Georgia
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
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Day Time Telephone
ext.
Evening Telephone
ext.
Email Address
Type
of Loan Needed
Loan Purpose
Refinance
Purchase
If You Need a Purchase Loan How
Much Money do You Need to Borrow?
- Select One -
5,000 - 10,000
10,000 - 15,000
15,000 - 20,000
20,000 - 25,000
25,000 - 30,000
30,000 - 35,000
40,000 - 45,000
45,000 - 50,000
50,000 - 55,000
50,000 - 60,000
60,000 - 65,000
65,000 - 70,000
70,000 - 75,000
75,000 - 80,000
80,000 - 85,000
85,000 - 90,000
90,000 - 95,000
95,000 - 100,000
100,000 - 105,000
105,000 - 110,000
110,000 - 115,000
115,000 - 120,000
120,000 - 125,000
125,000 - 130,000
130,000 - 135,000
135,000 - 140,000
140,000 - 145,000
145,000 - 150,000
150,000 - 155,000
155,000 - 160,000
160,000 - 165,000
165,000 - 170,000
170,000 - 175,000
175,000 - 180,000
180,000 - 185,000
185,000 - 190,000
190,000 - 195,000
195,000 - 200,000
200,000 - 205,000
205,000 - 210,000
210,000 - 215,000
215,000 - 220,000
220,000 - 225,000
225,000 - 230,000
230,000 - 235,000
235,000 - 240,000
240,000 - 245,000
245,000 - 250,000
250,000 - 255,000
255,000 - 260,000
260,000 - 265,000
265,000 - 270,000
270,000 - 275,000
275,000 - 280,000
280,000 - 285,000
285,000 - 290,000
290,000 - 295,000
295,000 - 300,000
300,000 - 305,000
305,000 - 310,000
310,000 - 315,000
315,000 - 320,000
320,000 - 325,000
325,000 - 330,000
330,000 - 335,000
335,000 - 340,000
340,000 - 345,000
345,000 - 350,000
350,000 - 355,000
355,000 - 360,000
360,000 - 365,000
365,000 - 370,000
370,000 - 375,000
375,000 - 380,000
380,000 - 385,000
385,000 - 390,000
390,000 - 395,000
395,000 - 400,000
400,000 - 405,000
405,000 - 410,000
410,000 - 415,000
415,000 - 420,000
420,000 - 425,000
425,000 - 430,000
430,000 - 435,000
435,000 - 440,000
440,000 - 445,000
445,000 - 450,000
450,000 - 455,000
455,000 - 460,000
460,000 - 465,000
465,000 - 470,000
470,000 - 475,000
475,000 - 480,000
480,000 - 485,000
485,000 - 490,000
490,000 - 495,000
495,000 - 500,000
500,000 - 505,000
505,000 - 510,000
510,000 - 515,000
515,000 - 520,000
520,000 - 525,000
525,000 - 530,000
530,000 - 535,000
535,000 - 540,000
540,000 - 545,000
545,000 - 550,000
550,000 - 555,000
555,000 - 560,000
560,000 - 565,000
565,000 - 570,000
570,000 - 575,000
575,000 - 580,000
580,000 - 585,000
585,000 - 590,000
590,000 - 595,000
595,000 - 600,000
600,000 - 605,000
605,000 - 610,000
610,000 - 615,000
615,000 - 620,000
620,000 - 625,000
625,000 - 630,000
630,000 - 635,000
635,000 - 640,000
640,000 - 645,000
645,000 - 650,000
650,000 - 655,000
655,000 - 660,000
660,000 - 665,000
665,000 - 670,000
670,000 - 675,000
675,000 - 680,000
680,000 - 685,000
685,000 - 690,000
690,000 - 695,000
695,000 - 700,000
700,000 - 705,000
705,000 - 710,000
710,000 - 715,000
715,000 - 720,000
720,000 - 725,000
725,000 - 730,000
730,000 - 735,000
735,000 - 740,000
740,000 - 745,000
745,000 - 750,000
750,000 - 755,000
755,000 - 760,000
760,000 - 765,000
765,000 - 770,000
770,000 - 775,000
775,000 - 780,000
780,000 - 785,000
785,000 - 790,000
790,000 - 795,000
795,000 - 800,000
Over 800,000
If You Apply For a Home Purchase
Loan, What is Your Monthly Rent?
If You Apply for a Home Purchase
Loan, What Would be a Comfortable Monthly Mortgage Payment?
If You Apply For a
Purchase Loan Do You Have a Down Payment? If so How Much Down payment do
You Have?
YES
NO
- Select One -
5,000 - 10,000
10,000 - 15,000
15,000 - 20,000
20,000 - 25,000
25,000 - 30,000
30,000 - 35,000
40,000 - 45,000
45,000 - 50,000
50,000 - 55,000
50,000 - 60,000
60,000 - 65,000
65,000 - 70,000
70,000 - 75,000
75,000 - 80,000
80,000 - 85,000
85,000 - 90,000
90,000 - 95,000
95,000 - 100,000
100,000 - 105,000
105,000 - 110,000
110,000 - 115,000
115,000 - 120,000
120,000 - 125,000
125,000 - 130,000
130,000 - 135,000
135,000 - 140,000
140,000 - 145,000
145,000 - 150,000
150,000 - 155,000
155,000 - 160,000
160,000 - 165,000
165,000 - 170,000
170,000 - 175,000
175,000 - 180,000
180,000 - 185,000
185,000 - 190,000
190,000 - 195,000
195,000 - 200,000
200,000 - 205,000
205,000 - 210,000
210,000 - 215,000
215,000 - 220,000
220,000 - 225,000
225,000 - 230,000
230,000 - 235,000
235,000 - 240,000
240,000 - 245,000
245,000 - 250,000
250,000 - 255,000
255,000 - 260,000
260,000 - 265,000
265,000 - 270,000
270,000 - 275,000
275,000 - 280,000
280,000 - 285,000
285,000 - 290,000
290,000 - 295,000
295,000 - 300,000
300,000 - 305,000
305,000 - 310,000
310,000 - 315,000
315,000 - 320,000
320,000 - 325,000
325,000 - 330,000
330,000 - 335,000
335,000 - 340,000
340,000 - 345,000
345,000 - 350,000
350,000 - 355,000
355,000 - 360,000
360,000 - 365,000
365,000 - 370,000
370,000 - 375,000
375,000 - 380,000
380,000 - 385,000
385,000 - 390,000
390,000 - 395,000
395,000 - 400,000
400,000 - 405,000
405,000 - 410,000
410,000 - 415,000
415,000 - 420,000
420,000 - 425,000
425,000 - 430,000
430,000 - 435,000
435,000 - 440,000
440,000 - 445,000
445,000 - 450,000
450,000 - 455,000
455,000 - 460,000
460,000 - 465,000
465,000 - 470,000
470,000 - 475,000
475,000 - 480,000
480,000 - 485,000
485,000 - 490,000
490,000 - 495,000
495,000 - 500,000
500,000 - 505,000
505,000 - 510,000
510,000 - 515,000
515,000 - 520,000
520,000 - 525,000
525,000 - 530,000
530,000 - 535,000
535,000 - 540,000
540,000 - 545,000
545,000 - 550,000
550,000 - 555,000
555,000 - 560,000
560,000 - 565,000
565,000 - 570,000
570,000 - 575,000
575,000 - 580,000
580,000 - 585,000
585,000 - 590,000
590,000 - 595,000
595,000 - 600,000
600,000 - 605,000
605,000 - 610,000
610,000 - 615,000
615,000 - 620,000
620,000 - 625,000
625,000 - 630,000
630,000 - 635,000
635,000 - 640,000
640,000 - 645,000
645,000 - 650,000
650,000 - 655,000
655,000 - 660,000
660,000 - 665,000
665,000 - 670,000
670,000 - 675,000
675,000 - 680,000
680,000 - 685,000
685,000 - 690,000
690,000 - 695,000
695,000 - 700,000
700,000 - 705,000
705,000 - 710,000
710,000 - 715,000
715,000 - 720,000
720,000 - 725,000
725,000 - 730,000
730,000 - 735,000
735,000 - 740,000
740,000 - 745,000
745,000 - 750,000
750,000 - 755,000
755,000 - 760,000
760,000 - 765,000
765,000 - 770,000
770,000 - 775,000
775,000 - 780,000
780,000 - 785,000
785,000 - 790,000
790,000 - 795,000
795,000 - 800,000
Over 800,000
If You Apply for a Home Purchase
Loan, Do You Currently Work a Real Estate Agent?
YES
NO
Primary Existing Mortgage Information
Current First Mortgage Balance
- Select One -
Under 60,000
60,000 - 65,000
65,000 - 70,000
70,000 - 75,000
75,000 - 80,000
80,000 - 85,000
85,000 - 90,000
90,000 - 95,000
95,000 - 100,000
100,000 - 105,000
105,000 - 110,000
110,000 - 115,000
115,000 - 120,000
120,000 - 125,000
125,000 - 130,000
130,000 - 135,000
135,000 - 140,000
140,000 - 145,000
145,000 - 150,000
150,000 - 155,000
155,000 - 160,000
160,000 - 165,000
165,000 - 170,000
170,000 - 175,000
175,000 - 180,000
180,000 - 185,000
185,000 - 190,000
190,000 - 195,000
195,000 - 200,000
200,000 - 205,000
205,000 - 210,000
210,000 - 215,000
215,000 - 220,000
220,000 - 225,000
225,000 - 230,000
230,000 - 235,000
235,000 - 240,000
240,000 - 245,000
245,000 - 250,000
250,000 - 255,000
255,000 - 260,000
260,000 - 265,000
265,000 - 270,000
270,000 - 275,000
275,000 - 280,000
280,000 - 285,000
285,000 - 290,000
290,000 - 295,000
295,000 - 300,000
300,000 - 305,000
305,000 - 310,000
310,000 - 315,000
315,000 - 320,000
320,000 - 325,000
325,000 - 330,000
330,000 - 335,000
335,000 - 340,000
340,000 - 345,000
345,000 - 350,000
350,000 - 355,000
355,000 - 360,000
360,000 - 365,000
365,000 - 370,000
370,000 - 375,000
375,000 - 380,000
380,000 - 385,000
385,000 - 390,000
390,000 - 395,000
395,000 - 400,000
400,000 - 405,000
405,000 - 410,000
410,000 - 415,000
415,000 - 420,000
420,000 - 425,000
425,000 - 430,000
430,000 - 435,000
435,000 - 440,000
440,000 - 445,000
445,000 - 450,000
450,000 - 455,000
455,000 - 460,000
460,000 - 465,000
465,000 - 470,000
470,000 - 475,000
475,000 - 480,000
480,000 - 485,000
485,000 - 490,000
490,000 - 495,000
495,000 - 500,000
500,000 - 505,000
505,000 - 510,000
510,000 - 515,000
515,000 - 520,000
520,000 - 525,000
525,000 - 530,000
530,000 - 535,000
535,000 - 540,000
540,000 - 545,000
545,000 - 550,000
550,000 - 555,000
555,000 - 560,000
560,000 - 565,000
565,000 - 570,000
570,000 - 575,000
575,000 - 580,000
580,000 - 585,000
585,000 - 590,000
590,000 - 595,000
595,000 - 600,000
600,000 - 605,000
605,000 - 610,000
610,000 - 615,000
615,000 - 620,000
620,000 - 625,000
625,000 - 630,000
630,000 - 635,000
635,000 - 640,000
640,000 - 645,000
645,000 - 650,000
650,000 - 655,000
655,000 - 660,000
660,000 - 665,000
665,000 - 670,000
670,000 - 675,000
675,000 - 680,000
680,000 - 685,000
685,000 - 690,000
690,000 - 695,000
695,000 - 700,000
700,000 - 705,000
705,000 - 710,000
710,000 - 715,000
715,000 - 720,000
720,000 - 725,000
725,000 - 730,000
730,000 - 735,000
735,000 - 740,000
740,000 - 745,000
745,000 - 750,000
750,000 - 755,000
755,000 - 760,000
760,000 - 765,000
765,000 - 770,000
770,000 - 775,000
775,000 - 780,000
780,000 - 785,000
785,000 - 790,000
790,000 - 795,000
795,000 - 800,000
Over 800,000
Current First Mortgage
Interest Rate
- Select One -
Less than 4.0
4.0
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.9
5.0
5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
5.9
6.0
6.1
6.2
6.3
6.4
6.5
6.6
6.7
6.8
6.9
7.0
7.1
7.2
7.3
7.4
7.5
7.6
7.7
7.8
7.9
8.0
8.1
8.2
8.3
8.4
8.5
8.6
8.7
8.8
8.9
9.0
9.1
9.2
9.3
9.4
9.5
9.6
9.7
9.8
9.9
10
10+
Current First Mortgage Loan Type
- Select One -
Adjustable
Fixed
Not Sure
Current First Mortgage Loan Term
- Select One -
1 Year ARM
2 Year ARM
3 Year ARM
4 Year ARM
5 Year ARM
10 Year
15 Year
20 Year
30 Year
40 Year
Not Sure
Current Monthly Payment
Secondary Existing Mortgage Information
Current Second Mortgage Balance
- Select One -
Under 60,000
60,000 - 65,000
65,000 - 70,000
70,000 - 75,000
75,000 - 80,000
80,000 - 85,000
85,000 - 90,000
90,000 - 95,000
95,000 - 100,000
100,000 - 105,000
105,000 - 110,000
110,000 - 115,000
115,000 - 120,000
120,000 - 125,000
125,000 - 130,000
130,000 - 135,000
135,000 - 140,000
140,000 - 145,000
145,000 - 150,000
150,000 - 155,000
155,000 - 160,000
160,000 - 165,000
165,000 - 170,000
170,000 - 175,000
175,000 - 180,000
180,000 - 185,000
185,000 - 190,000
190,000 - 195,000
195,000 - 200,000
200,000 - 205,000
205,000 - 210,000
210,000 - 215,000
215,000 - 220,000
220,000 - 225,000
225,000 - 230,000
230,000 - 235,000
235,000 - 240,000
240,000 - 245,000
245,000 - 250,000
250,000 - 255,000
255,000 - 260,000
260,000 - 265,000
265,000 - 270,000
270,000 - 275,000
275,000 - 280,000
280,000 - 285,000
285,000 - 290,000
290,000 - 295,000
295,000 - 300,000
300,000 - 305,000
305,000 - 310,000
310,000 - 315,000
315,000 - 320,000
320,000 - 325,000
325,000 - 330,000
330,000 - 335,000
335,000 - 340,000
340,000 - 345,000
345,000 - 350,000
350,000 - 355,000
355,000 - 360,000
360,000 - 365,000
365,000 - 370,000
370,000 - 375,000
375,000 - 380,000
380,000 - 385,000
385,000 - 390,000
390,000 - 395,000
395,000 - 400,000
400,000 - 405,000
405,000 - 410,000
410,000 - 415,000
415,000 - 420,000
420,000 - 425,000
425,000 - 430,000
430,000 - 435,000
435,000 - 440,000
440,000 - 445,000
445,000 - 450,000
450,000 - 455,000
455,000 - 460,000
460,000 - 465,000
465,000 - 470,000
470,000 - 475,000
475,000 - 480,000
480,000 - 485,000
485,000 - 490,000
490,000 - 495,000
495,000 - 500,000
500,000 - 505,000
505,000 - 510,000
510,000 - 515,000
515,000 - 520,000
520,000 - 525,000
525,000 - 530,000
530,000 - 535,000
535,000 - 540,000
540,000 - 545,000
545,000 - 550,000
550,000 - 555,000
555,000 - 560,000
560,000 - 565,000
565,000 - 570,000
570,000 - 575,000
575,000 - 580,000
580,000 - 585,000
585,000 - 590,000
590,000 - 595,000
595,000 - 600,000
600,000 - 605,000
605,000 - 610,000
610,000 - 615,000
615,000 - 620,000
620,000 - 625,000
625,000 - 630,000
630,000 - 635,000
635,000 - 640,000
640,000 - 645,000
645,000 - 650,000
650,000 - 655,000
655,000 - 660,000
660,000 - 665,000
665,000 - 670,000
670,000 - 675,000
675,000 - 680,000
680,000 - 685,000
685,000 - 690,000
690,000 - 695,000
695,000 - 700,000
700,000 - 705,000
705,000 - 710,000
710,000 - 715,000
715,000 - 720,000
720,000 - 725,000
725,000 - 730,000
730,000 - 735,000
735,000 - 740,000
740,000 - 745,000
745,000 - 750,000
750,000 - 755,000
755,000 - 760,000
760,000 - 765,000
765,000 - 770,000
770,000 - 775,000
775,000 - 780,000
780,000 - 785,000
785,000 - 790,000
790,000 - 795,000
795,000 - 800,000
Over 800,000
Current Second Mortgage
Interest Rate
- Select One -
Less than 4.0
4.0
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.9
5.0
5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
5.9
6.0
6.1
6.2
6.3
6.4
6.5
6.6
6.7
6.8
6.9
7.0
7.1
7.2
7.3
7.4
7.5
7.6
7.7
7.8
7.9
8.0
8.1
8.2
8.3
8.4
8.5
8.6
8.7
8.8
8.9
9.0
9.1
9.2
9.3
9.4
9.5
9.6
9.7
9.8
9.9
10
10+
Current Second Mortgage Loan Type
HELOC
Fixed Second Mortgage
Current Second Loan Loan Balance
- Select One -
Under 60,000
60,000 - 65,000
65,000 - 70,000
70,000 - 75,000
75,000 - 80,000
80,000 - 85,000
85,000 - 90,000
90,000 - 95,000
95,000 - 100,000
100,000 - 105,000
105,000 - 110,000
110,000 - 115,000
115,000 - 120,000
120,000 - 125,000
125,000 - 130,000
130,000 - 135,000
135,000 - 140,000
140,000 - 145,000
145,000 - 150,000
150,000 - 155,000
155,000 - 160,000
160,000 - 165,000
165,000 - 170,000
170,000 - 175,000
175,000 - 180,000
180,000 - 185,000
185,000 - 190,000
190,000 - 195,000
195,000 - 200,000
200,000 - 205,000
205,000 - 210,000
210,000 - 215,000
215,000 - 220,000
220,000 - 225,000
225,000 - 230,000
230,000 - 235,000
235,000 - 240,000
240,000 - 245,000
245,000 - 250,000
250,000 - 255,000
255,000 - 260,000
260,000 - 265,000
265,000 - 270,000
270,000 - 275,000
275,000 - 280,000
280,000 - 285,000
285,000 - 290,000
290,000 - 295,000
295,000 - 300,000
300,000 - 305,000
305,000 - 310,000
310,000 - 315,000
315,000 - 320,000
320,000 - 325,000
325,000 - 330,000
330,000 - 335,000
335,000 - 340,000
340,000 - 345,000
345,000 - 350,000
350,000 - 355,000
355,000 - 360,000
360,000 - 365,000
365,000 - 370,000
370,000 - 375,000
375,000 - 380,000
380,000 - 385,000
385,000 - 390,000
390,000 - 395,000
395,000 - 400,000
400,000 - 405,000
405,000 - 410,000
410,000 - 415,000
415,000 - 420,000
420,000 - 425,000
425,000 - 430,000
430,000 - 435,000
435,000 - 440,000
440,000 - 445,000
445,000 - 450,000
450,000 - 455,000
455,000 - 460,000
460,000 - 465,000
465,000 - 470,000
470,000 - 475,000
475,000 - 480,000
480,000 - 485,000
485,000 - 490,000
490,000 - 495,000
495,000 - 500,000
500,000 - 505,000
505,000 - 510,000
510,000 - 515,000
515,000 - 520,000
520,000 - 525,000
525,000 - 530,000
530,000 - 535,000
535,000 - 540,000
540,000 - 545,000
545,000 - 550,000
550,000 - 555,000
555,000 - 560,000
560,000 - 565,000
565,000 - 570,000
570,000 - 575,000
575,000 - 580,000
580,000 - 585,000
585,000 - 590,000
590,000 - 595,000
595,000 - 600,000
600,000 - 605,000
605,000 - 610,000
610,000 - 615,000
615,000 - 620,000
620,000 - 625,000
625,000 - 630,000
630,000 - 635,000
635,000 - 640,000
640,000 - 645,000
645,000 - 650,000
650,000 - 655,000
655,000 - 660,000
660,000 - 665,000
665,000 - 670,000
670,000 - 675,000
675,000 - 680,000
680,000 - 685,000
685,000 - 690,000
690,000 - 695,000
695,000 - 700,000
700,000 - 705,000
705,000 - 710,000
710,000 - 715,000
715,000 - 720,000
720,000 - 725,000
725,000 - 730,000
730,000 - 735,000
735,000 - 740,000
740,000 - 745,000
745,000 - 750,000
750,000 - 755,000
755,000 - 760,000
760,000 - 765,000
765,000 - 770,000
770,000 - 775,000
775,000 - 780,000
780,000 - 785,000
785,000 - 790,000
790,000 - 795,000
795,000 - 800,000
Over 800,000
Current Monthly Payment
Existing Mortgage Information
When Was The Last Time
You Refinanced?
(Month and Year) :
- Select One -
Within The Past 12 Months
12 - 24 Months
24 - 36 Months
More Than 3 Years Ago
Not Sure
Do You Have a
Prep-Payment Penalty?
NO
YES
Not Sure
Do You Currently Owe More on Your
Loan Than What Your Home is Worth?
NO
YES
If your
current loan is an ARM or Balloon, when will it adjust?
Do You Fully
Understand The Terms of Your Current Loan
YES
NO
Loan Type Requested
- Select One -
Refinance Existing Mortgage
Home Purchase Loan
Debt Consolidation Loan
Home Loan With Cash Out
Home Improvement Loan
Consolidate First and Second Mortgages
Home Equity Loan/HELOC
Home Purchase 2nd Home
Home Purchase Investment Property
Do You Need Cash out?
YES
NO
Cash out Loan Amount
Desired
How Long Have You Been Living in
Your Home?
How Long Do You Plan to Stay in
Your Home?
Do you foresee incurring other financial
obligations within the next 5 years, such as
purchasing 2nd Home, Investment Property, New Car, College
Financing etc.?
Other
Objectives
Save Per Month
NO
YES
Eliminate PMI
NO
YES
Reduce Loan Term
NO
YES
Pay off Debts
NO
YES
Desired Loan Fee Option
No Closing Cost Loan
0 Point + Closing Cost
1 Point + Closing Cost
2 Points + Closing Cost
Current Property Information
Property Type
- Select One -
Single-Family
Townhouse
Condominium
Cooperative
Multi-Family
Mobile Home (Perm)
Modular
Other
Estimated Property
Value
- Select One -
Under 60,000
60,001 - 65,000
65,001 - 70,000
70,001 - 75,000
75,001 - 80,000
80,001 - 85,000
85,001 - 90,000
90,001 - 95,000
95,001 - 100,000
100,001 - 105,000
105,001 - 110,000
110,001 - 115,000
115,001 - 120,000
120,001 - 125,000
125,001 - 130,000
130,001 - 135,000
135,001 - 140,000
140,001 - 145,000
145,001 - 150,000
150,001 - 155,000
155,001 - 160,000
160,001 - 165,000
165,001 - 170,000
170,001 - 175,000
175,001 - 180,000
180,001 - 185,000
185,001 - 190,000
190,001 - 195,000
195,001 - 200,000
200,001 - 210,000
210,001 - 220,000
220,001 - 230,000
230,001 - 240,000
240,001 - 250,000
250,001 - 260,000
260,001 - 270,000
270,001 - 280,000
280,001 - 290,000
290,001 - 300,000
300,001 - 310,000
310,001 - 320,000
320,001 - 330,000
330,001 - 340,000
340,001 - 350,000
350,001 - 360,000
360,001 - 370,000
370,001 - 380,000
380,001 - 390,000
390,001 - 400,000
400,001 - 420,000
420,001 - 440,000
440,001 - 460,000
460,001 - 480,000
480,001 - 500,000
500,001 - 520,000
520,001 - 540,000
540,001 - 560,000
560,001 - 580,000
580,001 - 600,000
600,001 - 620,000
620,001 - 640,000
640,001 - 660,000
660,001 - 680,000
680,001 - 700,000
700,001 - 720,000
720,001 - 740,000
740,001 - 760,000
760,001 - 780,000
780,001 - 800,000
Over 800,000
Other
Personal Information
Do You Have
Credit Card Debts? If so How Much
YES
NO
Do You Have
Student Loan(s)? If so How Much
YES
NO
Do You Have Car
Loan(s)? If so How Much
YES
NO
Credit rating
Excellent
Good
Fair
Poor
Do You Know Your Credit Score?
YES
NO
What is Your Credit Score?
Are You Currently Employed?
NO
YES
Source of Income
W2
Self Employed
Social Security
Others
What is Your Total Monthly &
Yearly Household Gross Income?
Have you filed for
bankruptcy in the last 10 years? NO YES
Have you owned property which was foreclosed in the last 4 years?
NO
YES
Are there any judgements, lawsuits or indirect credit obligations
(guarantees or co-signing) for which you are obligated?
NO YES
Are you obligated to pay any child support, maintenance, or alimony by
court decree?
NO YES
Personal Finance and
Retirement Information
Do
you have a sufficient amount of money stashed away in case of
emergencies or unforeseen financial setbacks? (A
good rule of thumb is anywhere from 3 to 12 months of living
expenses, depending on the stability of your income and
employment)
NO
YES
Do You Have a Retirement
Account? (IRA/ROTH IRA/401K etc)
NO
YES
If
so How Much do You Have in Your Retirement Account?
Do You Have Investment
Accounts Outside Your Retirement Account?
NO
YES
Do You Own Investment Properties?
NO
YES
How Far Are You From Retiring?
Do You Save Enough
Money To Retire Comfortably?
NO
YES
When do You Want to be Debt
Free??
Is there anything else we can discus to
help your overall financial planning strategy?
How Did You Hear About
Us?
By applying for a Home Loan at
www.wealthcreationteam.net you understand that you authorize
our Mortgage Planners to contact you, even though you may be listed on
the Do Not Call List.
YES
NO
We will review your information and contact you shortly.
