Re-finance Application

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Fields that are marked with " * " are required

Purpose of Refinance (Select all that apply)

Take Out Cash	Cash Out Amount
Consolidate Debt	Consolidate Debt Amount
Lower Payments
Lower Terms	Get out of an Adjustable Rate Mortgage

Tell us about Your Mortgage

What date did you purchase your home? *	(mm/dd/yyyy) A value is required.Invalid format. (mm/dd/yyyy)
What is your current 1st mortgage balance? *	A value is required.Invalid format. Must be Integer
What is your 1st mortgage rate? *	A value is required.
What is your 1st mortgage payment? *	A value is required.Invalid format.
Does this payment include your taxes and insurance? *	Please select a valid item. Please select an item.
Do you have a second Mortgage? *	Please select a valid item. Please select an item.
If Selected Yes, Complete the following :

What is your current 2nd mortgage balance?	Invalid format. (1,000.00)
What is your current 2nd mortgage rate?
What is your 2nd mortgage payment?

Property Information

What is your estimated property value? *	A value is required.Invalid format. (1,000.00)
What kind of property do you own? *	Please select a valid item. Please select an item.
Use of Property *	Please select a valid item. Please select an item.
Location of property *	Please select a valid item. Please select an item.
Has it been listed for sale in the most recent 12 months? *	Please select a valid item. Please select an item.

Borrower Information ( This is free, There is no Obligation and no Credit Check)

Number of Borrowers? *	Please select a valid item. Please select an item.
1st Borrower Information

First Name *	A value is required.
Middle Initial
Last Name *	A value is required.
Suffix *	Please select a valid item. Please select an item.
Home Phone Number *	A value is required.Invalid format.111-111-1111
Work Phone Number *	A value is required.Invalid format.111-111-1111
Cell Phone *	A value is required.Invalid format.111-111-1111
E-mail Address *	A value is required.Invalid format.
Current Street Address *	A value is required.
Apt/Unit #
City *	A value is required.
State *	A value is required.
Zip Code *	A value is required.Invalid format.US-5
Best Contact Time *	Please select a valid item. Please select an item.
Credit History *	Please select a valid item. Please select an item.
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2nd Borrower Information

First Name
Middle Initial
Last Name
Suffix
Home Phone Number	Invalid format.111-111-1111
Work Phone Number	Invalid format.111-111-1111
Cell Phone	Invalid format.111-111-1111
E-mail Address	Invalid format.
Current Street Address
Apt/Unit #
City
State
Zip Code
Best Contact Time
Credit History

Employment

Employment Type *	Please select a valid item. Please select an item.
Length of Time on Job *	A value is required.
Length of time in your current field of work*	A value is required.
Income Type *	Please select a valid item. Please select an item. Full documentation requires 1-2yrs worth of verifiable income and may include verification of assets for some, but not all programs
If Full Documented Income is Selected

Gross Monthly Salary
Overtime Income
Commission Income
Additional Income
Assets(401k, Stocks, Bonds, Saving, Checking, etc.)
What is your total monthly debt payments excluding any housing expense?
	By clicking submit, you are agreeing to receive up to four offers at no cost, and no obligation to you