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FINANCIAL INFO
Type of Loan
Please Select
Home Purchase
Refinance Your Home
Home Equity
Debt Consolidation
Home Improvement
Amount you wish to borrow
$
.00
Do you prefer a fixed or adjustable rate?
Please Select
Fixed
Adjustable
No Preference
Desired term of loan:
Please Select
15-year
30-year
Other
No Preference
Your Monthly Gross Income
$
.00
Co-Borrower Monthly Gross Income
$
.00
Monthly Debt
$
.00
Credit Rating
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Poor
Fair
Good
Excellent
Can you verify your income?
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Yes
No
Your employment status:
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Employed
Self Employed
Other
How long have you had your current position?
Co-borrower's employment status:
Please Select
Employed
Self Employed
Other
How long has the co-borrower had this position?
CURRENT PROPERTY
Do you currently own or rent your home?
Please Select
Own
Rent
Property Type
Please select
Single Family Residence
Condominium
Multi-Family Residence (up to 4)
Manufactured Home
Property Value
$
.00
Purchase Price
$
.00
Year Acquired
Location of Property (State USA Only)
Existing Loan Balance
$
.00
Current Interest Rate
Please select
10 or above
Below 7.0
7.1 - 7.49
7.5 - 7.99
8.0 - 8.49
8.5 - 8.99
9.0 - 9.49
9.5 - 9.99
None
Is this Adjustable or Fixed?
Please Select
Fixed
Adjustable
First Mortgage Monthly Payment
$
.00
Second Mortgage Balance (if any)
$
.00
Second Mortgage Monthly Payment (if any)
$
.00
PERSONAL INFO
Name
Email
Password
Co Borrower Name
Address
Addr2
City
State
Zip
Phone (Work)
Phone (Home)
Best Time to Call:
Please Select
Morning Home
Morning Work
Afternoon Home
Afternoon Work
Evening Home
Evening Work
Email Address
Comments
10 lines max x 50 chars
Tim Pfannenstiel
Re/Max Professionals
Office: 303-791-2882
Direct: 720-373-8460
Cell: 720-373-8460
Fax: 303-971-0770
1745 Shea Center Dr.
Highlands Ranch, CO 80129
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