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Would You Like to Purchase or Refinance? *

Purchase

Refinance

Are You A First Time Homebuyer? *

Yes

No

What Type of Home Would You Like To Buy? *

Single Family

Multi Family

Town Home

Condo

What Best Describes You? *

Signed A Purchase Agreement

Made an Offer/ Found a Home

I'm Shopping Around

3-6 Months

6-12 Months

Are you active duty military or a veteran? *

Yes

No

What's Your Purchase Price? *

Under $250,000

$251,000-$300,000

$301,000-$350,000

$351,000-$400,000

$401,000-$500,000

$500,000-$600,00

$600,000+

Please List Your Down Payment Amount *

None

3-5%

10-15%

20% Or More

Are You Employed? *

Yes

No

Self-Employed

How Would You Describe Your Credit? *

Excellent (740+)

Good (700-739)

Average (640-699)

Fair (600-639)

Poor (Below 600)

What type of home are you looking to refinance? *

Single-Family

Multifamily

Condo

Townhouse

Mobile Home

What's Your Estimated Home Value? *

Under $100,000

$101,000-$150,000

$151,000-$200,000

$201,000-$250,000

$251,000-$300,000

$301,000-$350,000

$351,000-$400,000

More Than $400,000

What's Your Estimated Mortgage Balance? *

$0

$1,000-$50,000

$51,000-$100,000

$101,000-$150,000

$151,000-$200,000

$201,000-$250,000

$251,000-$300,000

$301,000-$350,000

More Than $350,000

What's Your Current Interest Rate? *

2-3%

3-4%

4-5%

5-6%

6-7%

8-9%

9-10%

More than 10%

Do You Have A Second Mortgage *

Yes

No

How do you plan to use the property? *

Primary Residence

Secondary Home

Investment Property

Would You Like To Take Cash Out? *

Yes

No

Have You Made Any Late Mortgage Payments In The Last 12 Months? *

No

1 Late Payment

2+ Late Payments

What Type of Mortgage Do You Currently Have? *

Conventional

FHA

VA

USDA

Not Sure

Please Estimate Your Credit Score *

Excellent (740+)

Good (700-739)

Average (640-699)

Fair (600-639)

Poor (Below 600)

What's Your Gross Annual Income? *

Under $30,000

$30,000-$49,999

$50,000-$74,999

$75,000-$99,999

100,000-$124,999

$125,000

What City Are You In? *

What State Are You Purchasing In? *

Please Enter Your First Name *

Please Enter Your Last Name *

Please Enter Your Email Address *

Enter Your Best Contact Number *

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