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Corporate Office
9381 East Stockton Blvd., Suite 200
Elk Grove, CA 95624
Toll Free: (877) 362-9018
After Hours
Live Operator:
(800) 423-8440
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Current Mortgage Information
Loan Purpose
Cash Out - Refinance
Construct Home
Const. to Perm.
Purchase
No Cash Out- Refinance
Other
Loan Type
3/1 Year Arm
Rate and Term-Refinance
30 Year Conventional
15 Year Conventional
30 Year FHA Fixed
30 Year VA Loan
1 Year Arm
5/1 Year Arm
5 Year Balloon
7 Year Balloon
FHA Arm
Other Loan
Amortization Type
Fixed Rate
ARM
GPM
Other
Loan Amount *
Interest Rate
5.125
5.250
5.375
5.500
5.625
5.750
5.875
6.000
6.125
6.250
6.375
6.500
6.625
6.750
6.875
7.000
7.125
7.250
7.375
7.500
7.625
7.750
7.875
8.000
8.250
8.375
8.500
8.625
8.750
8.875
9.000
9.125
9.250
9.375
9.500
9.625
9.750
9.875
10.000
10.125
10.250
10.375
10.500
10.625
10.750
10.875
11.000
11.125
11.250
11.375
11.500
11.625
11.750
11.875
Estimated Closing Time
Immediately
Within 1 month
Within 2 months
More than 3 months
Down Payment Amount
Source of Down Payment: *
Select One
Checking/Savings
Deposit on Sales Contract
Equity on Sold Property
Equity from Pending Sale
Equity from Subject Property
Cash-Gift
Stocks and Bonds
Lot Equity
Financing Secured Property
Cash Borrowed
Trust Funds
Retirement Funds
Rent with Option to Purchase
Life Insurance Cash Value
Sale of Chattel
Trade Equity
Sweat Equity
Cash on Hand
Other Type of Payment
Secured Borrowed Funds
Property Information
Property Will Be
Primary Residence
Secondary Residence
Investment
Property Market Value *
Address
City
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip
Contact Information
First Name *
Last Name *
Mailing Address *
City * State *
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip *
Email address *
Work Phone *
Home Phone *
Current Employer
Time with employer
Years
Months
Gross Monthly Income
$
Credit history is
Excellent
Good but some lates
Some credit problems
Major credit problems
Unknown
Are you self employed
----------
Yes
No
Date of Birth (MM/DD/YYYY)
/
/
Co-Borrower Information
First Name
Last Name
Mailing Address
City
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip
Email address
Work Phone
Home Phone
CO-Borrowers Current Employer
Time with employer
Years
Months
Gross Monthly Income
$
CO-Borrower Credit history is
Excellent
Good but some lates
Some credit problems
Major credit problems
Unknown
Are you self employed
----------
Yes
No
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