*1.
Property
Location:
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
*2.
Zip
Code of Property:
*3.
Estimated
property value:
e.g. 100000 (estimate OK)
*4.
1st
mortgage balance on property
e.g. 50000 (estimate OK)
*a. Monthly
payment
e.g. 800 (estimate OK)
*b. Interest
rate
% e.g. 7 (estimate OK)
5.
Are
there any additional mortgages on the property?
No
Yes
(excluding the 1st mortgage)
a. Balance
of additional mortgages
e.g. 20000 (do not include balance of first
mortgage) (estimate OK)
b. Monthly
payment
e.g. 800 (estimate OK)
*6.
Which
loan would you prefer?
New 1st Mortgage
New 2nd Mortgage/Equity
Loan
New Home Equity
Line of Credit
Interest Only
Other
*7.
Size
of new equity loan
e.g. 25000
($10,000 recommended minimum to get matched
with more lenders)
*8.
Rate
type
9.
Preferred
loan term
40
30
15
years
*10.
Credit
Status
Select One
Poor, Major issues or
Limited credit history
Fair, Recent issues
or history of issues
Good, No recent issues
Excellent, Never
any issues
(You don't need excellent
credit for a loan. We can match you with
lenders, regardless of your credit)
*11.
Annual
(pre-tax) income
per year e.g.
75000 (estimate OK)
Alimony, child
support or separate maintenance income need
not be included if you do not wish to have
it considered as a basis for repaying the loan.
*12.
Average
monthly debt payment
(Exclude
housing)
per month e.g.
3000 (estimate OK)
Include all monthly
obligations including vehicle loans, credit
cards, child support, etc... Please exclude
housing.
13.
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
14.
Occupation
status
Employed
Self-employed
Retired
Not employed
15.
When
do you want to close this loan?
30 Days
60 Days
90 Days
I have no time constraints
16.
What
is your current loan goal?
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
*17.
Company
*18.
Your name
19.
Co-applicant
name
*20.
E-mail
address
Note: An e-mail address
is required so that we can contact you regarding
the status of your loan inquiry.
*21.
Phone
Best time
to call
AM
PM
Preferred method of contact
Select
Email
Phone
Mail
22.
How did you
hear about us?
Select One
WBAL Radio
WBAL.com
WMAR TV News
98 Rock
Weekend
Real Estate Report
105.7 (Ed
Norris)
Internet
Search Engine
ABC2News.com
105.7 FM (Pa)
105.7 the
X (Pa)
Mix 106.5
Elliott
on 104.3FM
The Peak
98.5FM
MDTroopers.org
Referral
Seminar
Repeat Client
Yes,
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