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The Mortgage Type You Are Looking For
Your Property Location
*2.
Location of Property:
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
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
*3. Zip Code of Property
Your Property Information
4. Type
of Property
Single-family home
Town home
Condominium
Cooperative
Multiple-family dwelling
Manufactured
Mobile Home
5. Property
Use
Primary residence
Second home / vacation property
Investment property
*6. Property
Value (estimate)
Select One
Less than 50,000
50,000 - 55,000
55,001 - 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
800,001 - 820,000
820,001 - 840,000
840,001 - 860,000
860,001 - 880,000
880,001 - 900,000
900,001 - 920,000
920,001 - 940,000
940,001 - 960,000
960,001 - 980,000
980,001 - 1,000,000
Over 1,000,000
ex. 100000 (estimate OK)
Your Loan Information
*7. First
Mortgage Balance on Property
Select One
0
01 - 5,000
5,001 - 10,000
10,001 - 15,000
15,001 - 20,000
20,001 - 25,000
25,001 - 30,000
30,001 - 35,000
35,001 - 40,000
40,001 - 45,000
45,001 - 50,000
50,001 - 55,000
55,001 - 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
800,001 - 820,000
820,001 - 840,000
840,001 - 860,000
860,001 - 880,000
880,001 - 900,000
900,001 - 920,000
920,001 - 940,000
940,001 - 960,000
960,001 - 980,000
980,001 - 1,000,000
Over 1,000,000
ex. 50000 (estimate OK)
*a. Monthly
Payment
Select One
0
1 - 100
101 - 200
201 - 300
301 - 400
401 - 500
501 - 600
601 - 700
701 - 800
801 - 900
901 - 1,000
1,001 - 1,100
1,101 - 1,200
1,201 - 1,300
1,301 - 1,400
1,401 - 1,500
1,501 - 1,600
1,601 - 1,700
1,701 - 1,800
1,801 - 1,900
1,901 - 2,000
2,001 - 2,100
2,101 - 2,200
2,201 - 2,300
2,301 - 2,400
2,401 - 2,500
2,501 - 2,600
2,601 - 2,700
2,701 - 2,800
2,801 - 2,900
2,901 - 3,000
3,001 - 3,100
3,101 - 3,200
3,201 - 3,300
3,301 - 3,400
3,401 - 3,500
3,501 - 3,600
3,601 - 3,700
3,701 - 3,800
3,801 - 3,900
3,901 - 4,000
4,001 - 4,100
4,101 - 4,200
4,201 - 4,300
4,301 - 4,400
4,401 - 4,500
4,501 - 4,600
4,601 - 4,700
4,701 - 4,800
4,801 - 4,900
4,901 - 5,000
More than 5,000
ex. 900 (estimate OK)
*b. Interest
Rate
Select One
Over 10%
10.000
9.875
9.750
9.625
9.500
9.375
9.250
9.125
9.000
8.875
8.750
8.625
8.500
8.375
8.250
8.125
8.000
7.875
7.750
7.625
7.500
7.375
7.250
7.125
7.000
6.875
6.750
6.625
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
3.000
2.875
2.750
2.625
2.500
2.375
2.250
2.125
2.000
1.875
1.750
1.625
1.500
1.375
1.250
1.125
1.000
% ex. 7 (estimate OK)
8.
Any additional mortgages on the property?
No
Yes
a. Balance of
Additional Mortgages
Select One
01 - 5,000
5,001 - 10,000
10,001 - 15,000
15,001 - 20,000
20,001 - 25,000
25,001 - 30,000
30,001 - 35,000
35,001 - 40,000
40,001 - 45,000
45,001 - 50,000
50,001 - 55,000
55,001 - 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
800,001 - 820,000
820,001 - 840,000
840,001 - 860,000
860,001 - 880,000
880,001 - 900,000
900,001 - 920,000
920,001 - 940,000
940,001 - 960,000
960,001 - 980,000
980,001 - 1,000,000
Over 1,000,000
ex. 20000 (do not include balance of first mortgage) (estimate OK)
b. Monthly
Payment
0
01 - 100
101 - 200
201 - 300
301 - 400
401 - 500
501 - 600
601 - 700
701 - 800
801 - 900
901 - 1,000
1,001 - 1,100
1,101 - 1,200
1,201 - 1,300
1,301 - 1,400
1,401 - 1,500
1,501 - 1,600
1,601 - 1,700
1,701 - 1,800
1,801 - 1,900
1,901 - 2,000
2,001 - 2,100
2,101 - 2,200
2,201 - 2,300
2,301 - 2,400
2,401 - 2,500
2,501 - 2,600
2,601 - 2,700
2,701 - 2,800
2,801 - 2,900
2,901 - 3,000
3,001 - 3,100
3,101 - 3,200
3,201 - 3,300
3,301 - 3,400
3,401 - 3,500
3,501 - 3,600
3,601 - 3,700
3,701 - 3,800
3,801 - 3,900
3,901 - 4,000
4,001 - 4,100
4,101 - 4,200
4,201 - 4,300
4,301 - 4,400
4,401 - 4,500
4,501 - 4,600
4,601 - 4,700
4,701 - 4,800
4,801 - 4,900
4,901 - 5,000
More than 5,000
ex. 700 (estimate OK)
*9. Which loan would you prefer?
Select One
New 2nd Mortgage/Equity Loan
New Home Equity Line of Credit
*10. Size of new equity loan?
Select One
01 - 5,000
5,001 - 10,000
10,001 - 15,000
15,001 - 20,000
20,001 - 25,000
25,001 - 30,000
30,001 - 35,000
35,001 - 40,000
40,001 - 45,000
45,001 - 50,000
50,001 - 55,000
55,001 - 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
More than 200,000
ex. 15000 (estimate OK)
11. Rate
Type
Fixed
Adjustable
12. Preferred loan term
30
15
years
Your Financial Information
*13. Credit Status (Help)
Select One
Poor, Major issues or Limited credit history
Fair, Recent issues or history of issues
Good, No recent issues
Excellent, Never any issues
(We can match you with Lenders, regardless of your credit)
*14. Annual
Gross Income (pre-tax)
Select One
Less than 20,000
20,000 - 29,999
30,000 - 39,999
40,000 - 49,999
50,000 - 59,999
60,000 - 69,999
70,000 - 79,999
80,000 - 89,999
90,000 - 99,999
100,000 - 119,999
120,000 - 139,999
140,000 - 159,999
160,000 - 179,999
180,000 - 199,999
Over 200,000 Per Year
per yearex. 55000 (estimate OK) (more info)
*15. Average monthly debt payments (Exclude housing)
Select One
0 - 249
250 - 499
500 - 749
750 - 1,000
Over 1,000
per month ex. 2000 (estimate OK) (more info)
16. Have you ever declared bankruptcy?
No/Not in the last 7 years
5 - 7 years ago
2 - 5 years ago
1 - 2 years ago
Less than 12 months ago
17. Occupation
Status
Employed
Self-employed
Retired
Not employed
18. When do you want to close
on this loan?
30 Days
60 Days
90 Days
I have no time constraints
19. What
are your current loan goals?
I am looking for a Lender and comparing loans
I have a Lender, but am looking at other loan options
I am just checking rates
*20. Full Name
Note: Your First and Last Name
*21. Your Address
Note: Your Residence Street Address
*22. City
*23. State
*24. Zipcode
*25. Daytime Phone
ex. 6549324743
(including area code )
*26. Evening Phone
ex. 6549324743
(10 digits, please include area code )
27. Best Time to Call
Anytime
Morning
Afternoon
Evening
28. Time Zone
*29. E-mail address
Note:
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of our Premier Lending Partners to contact you either by phone or email
even if you are on the Do Not Call Registry." Privacy Policy
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