| First
and Last Name Only |
|
| Co-Applicant's
Name |
|
| City |
|
|
State
|
(property
location)
|
| Street
Address |
|
| Zip |
|
| Work
Phone |
(
) -
-
|
| Home
Phone |
(
) -
-
You must provide at least 1 valid contact #. |
| Type
of House Owned or Want Buy |
|
| Current
Value
(If purchase put
the value of the home you want) |
(enter
whole numbers only, do not enter commas or cents) |
| Purchase
Price
(If purchase put the value of the
home you want) |
(enter
whole numbers only, do not enter commas or cents) |
| Total
Mortgage Balance
(Existing 1st and 2nd,
if you owe zero enter the number 1)
|
(enter
whole numbers only, do not enter commas or cents) |
| Current
Interest Rate |
(For purchase leave blank) |
| Fixed
or Adjustable? |
(For purchase leave blank) |
| Monthly
Payment |
Current
mortgage payments or rent.
(enter whole numbers only, do not enter commas or
cents) |
| Behind
on Payments? |
|
|
How
Would Your Rate Your Credit? |
|
| Place
of Employment |
|
| Years
There |
|
| Yearly
Income |
|
| Best
Time / Place to Call |
|
| Loan
Amount Desired
(Minimum Loan Amount $25000) |
(enter numbers only, do not enter commas or cents) |
Type of Loan
Desired
(Help) |
|
| E-mail
Address |
user@isp.com
(no
spaces please) |
Additional
information that you think may be helpful (i.e.
Indicate how much cash out or straight rate and
term refinance or any other information that may
be helpful).
For
Purchase - Indicate where you
are in the buying process, i.e. offer accepted,
in escrow, want pre-approval, just shopping)
|
|
