1.
What
State is the property located
in?
Select
One
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
2.
What
is the estimated current value
of the home?
$
.00
3.
What
is the total amount you need
to finance?
$
.00
4.
The
purpose of this loan is:
Select
One
New
Purchase
Bill
Consolidation
Home
Improvement
College
Tuition
Cash Out
Business
Capital
5.
What
type of loan do you want?
Select
One
New
Purchase
Refinance
Home
Equity
Zero
Equity Loan
125%
Home Equity Loan
Debt
Consolidation
Zero
Down Purchase
6.
What
is your desired loan term?
Select
Term
30 fixed
20 Fixed
15 fixed
10 Fixed
5 Fixed
30/7
fixed
30/5
fixed
3/1 ARM
5/1 ARM
10/1 ARM
7/1 ARM
3/1 ARM
1 year
ARM
6 month
ARM
1 month
ARM
Adjustable
7
year balloon
5
year balloon
FHA 203b
FHA
203k Rehab
FHA
234c Condo
FHA
245 Grad
FHA
245a Growing
FHA 251
FHA EEM
30 Fixed
VA
30
Graduated VA
30
Growing Equity VA
other
7.
Have
you declared bankruptcy in the
last seven years?
Select
One
Never
declared bankruptcy
Less
than 12 months ago
1-2
years ago
2-5
years ago
5-7
years ago
More
than 7 years
8.
What
best describes your credit?
Select
One
Excellent
Good
Fair
Some
Problems
Major
Problems
9.
Do
you pay your monthly payments
on time?
Select
One
Early
On Time
1-3
Months Late
4-6
Months Late
Over
6 Months
10.
What
is your gross monthly income
(pre-tax)?
You do not
need to include information
about alimony, child support,
or separate maintenance income
unless you want it to be considered.
$
.00
11.
How
much are your current monthly
payments?
Include all
monthly obligations for you
and your co-borrower such as
credit cards, car loan, or child
support (excluding housing).
$
.00
12.
How
did you find us?.
Select
One
Newspaper
Search
Engine
Referred
by Friend
Television
Radio
Sign
Web
Site Link
Other