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First Name
Last Name
Phone Number
Enter your Zip Code
Email Address
Address
Are you a homeowner?
Yes - I own a home
No - I'm looking to buy
Have you or your spouse served in the military?
Yes - we're a Veteran household
No - we're not a Veteran household
What is your estimated current credit score?
Excellent (720 and above)
Good (660-719)
Average (620-659)
Below Average (580-619)
Poor (579 and below)
What type of home do you live in?
Single Family
Townhouse/Condo
Mobile/Trailer
Multi-family residence (Permanent Foundation)
Regular House
How much do you owe on your mortgage?
Please Select
$50,000 or less
$50,001 - 75,000
$75,001 - 100,000
$100,001 - 125,000
$125,001 - 150,000
$150,001 - 175,000
$175,001 - 200,000
$200,001 - 250,000
$250,001 - 300,000
$300,001 - 350,000
$350,001 - 400,000
$400,001 - 450,000
$450,001 - 500,000
$500,001 - 750,000
$750,001 - 1,000,000
$1,000,001 - 1,500,000
$1,500,001 - 2,000,000
Over $2,000,000
What is the estimated value of your home?
Please Select
$50,000 or less
$50,001 - 75,000
$75,001 - 100,000
$100,001 - 125,000
$125,001 - 150,000
$150,001 - 175,000
$175,001 - 200,000
$200,001 - 250,000
$250,001 - 300,000
$300,001 - 350,000
$350,001 - 400,000
$400,001 - 450,000
$450,001 - 500,000
$500,001 - 750,000
$750,001 - 1,000,000
$1,000,001 - 1,500,000
$1,500,001 - 2,000,000
Over $2,000,000
Do you wish to take cash out from your Mortgage?
Please Select
0 (No cash)
$1 - 25,000
$25,001 - 50,000
$50,001 - 75,000
$75,001 - 100,000
$100,001 - 125,000
$125,001 - 150,000
$150,001 - 200,000
$200,001 - 250,000
$250,001 - 300,000
$300,001 - 350,000
$350,001 - 400,000
$400,001 - 450,000
$450,001 - 700,000
$700,001 - 950,000
$950,001 - 1,450,000
$1,450,001 - 1,950,000
What is your current interest rate?
2.75%
3.0%
3.25%
3.5%
3.75%
4.0%
4.25%
4.5%
4.75%
5.0%
5.25%
5.5%
5.75%
6.0%
6.25%
6.5%
7.25%
7.5%
7.75%
8.0%
What is your current loan type?
FHA
VA
Other
Who do you make your mortgage payment to?
Choose One:
Bank of America
BB&T Mortgage
Caliber Home Loans
Chase
Citi
Ditech
Fifth Third Bank
Freedom Mortgage Corp
LoanCare
loanDepot.com
Merrill Lynch
Morgan Stanley
Mr. Cooper / Nationstar
Navy Federal Credit Union
New Residential / New Penn
Ocwen
PennyMac Loan Services
PHH Mortgage
PNC Mortgage
Quicken Loans Inc
RoundPoint Mortgage
Shellpoint
SunTrust Mortgage
United Wholesale Mortgage
US Bank Home Mortgage
USAA Federal Savings Bank
Veterans United
Wells Fargo & Company
Other
No Lender
I Dont Know
What is your employment status?
Employed
Self-Employed
Unemployed
Retired
Can anyone on the loan verify their income?
Yes
No