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What's the best way to reach you?
mobile

Mobile

home

Home

work

Work

email

E-mail

Property Use?
primary

Primary Residence

vacation

Vacation Home

investment

Investment

Property Type?
single

Single Family

townhome

Townhome

condo

Condo

Home Buying Stage?
contract

Under Contract

offer

Making Offer

looking

Looking

Have you served in the armed forces?
yes

Yes

no

No

Down Payment?
0 down

0% VA

35 down

3.5% FHA

5 down

5%


10 down

10%

15 down

15%

20 down

20%

Estimated Purchase Price
$250,000.00
Your Current Home Zip?
Where Do you Currently live?
Your Basic Information
Employment Status
Retired?
yes

Yes

no

No

Self-Employed?
yes

Yes

no

No

Employed By Others?
yes

Yes

no

No

Not Working?
yes

Yes

no

No

Social Security Number (optional):

Will there be a Co-Borrower?
yes

Yes

no

No

Co-Borrower Basic Information
Co-Borrower Employment Status
Retired?
yes

Yes

no

No

Self-Employed?
yes

Yes

no

No

Employed By Others?
yes

Yes

no

No

Not Working?
yes

Yes

no

No

Referred To:

Evan

Originator

NMLS# 239065

Skip

Manager

NMLS# 239078

Teresa

Originator

NMLS# 239086

Anne

Originator

NMLS# 239092

Sean

Originator

NMLS# 239065

Referred By:

Have you ever experienced a Shortsale or Foreclosure?
yes

Yes

no

No

Have you filed your 2019 Tax Return?
yes

Yes

no

No

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