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what is the property use?

Primary Residence

Vacation Home

Investment

How is your credit?

Excellent

Very Good

Good

Fair

Poor

Unknown

Property Type?

Single Family

Townhome

Condo

Estimated Purchase Price?

Down Payment?

0% VA

3.5% FHA

5%

10%

15%

20%

Other Amount:

Home Buying Stage?

Looking for home

Making offer

Under Contract

You expect to buy within?

30-60 Days

2-3 Months

6 Months

Longer

Are you working with a Realtor?

Yes

No

Where Do you Currently live?

Zip Code:

Address:

City:

State:

your basic information

First Name:

Last Name:

Phone:

Email:

Social Security Number (optional)

Will there be a Co-Borrower?

Yes

No

co-borrower basic information

First Name:

Last Name:

Phone:

Email:

SS# (optional):

Which Loan Originator were you referred to?

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