Mortgage Purpose:
Why are you purchasing a new home?
Select one...
First-time homebuyer
Relocating
Investment
Buying a second home
Other
Are you currently renting?
Select one...
Yes
No
Other
Are you currently working with a realtor?
Select one...
Yes
No
Estimated Down Payment:
Select One...
0-5,000
5,001-10,000
10,001-20,000
20,001-30,000
30,001-40,000
40,001-50,000
50,001-75,000
75,001-100,000
100,001-200,000
200,001-300,000
300,001-400,000
400,001-500,000
500,001 and above
How would you rate your credit?
Select One...
Excellent (720 or above)
Average (660-719)
Good (620-659)
Below (580-619)
Poor (579 and below)
Am I eligible and/or interested in a VA/Military Loan?
Select One...
Yes
No
How did you hear about us?
Select One...
Referring Client
Twitter/Facebook/Linkedin
E-mail
Friend
Real Estate Agent
Online Advertisement
Other
First Name:
Last Name:
Email Address:
Preferred Phone:
Zip Code:
Comments/Questions:
What would you like to do?
Select One...
Lower Monthly Payment
Cash-out Refinance
Other
How much is your home worth?
Select One...
0-25,000
25,001-100,000
100,001-200,000
200,001-300,000
300,001-400,000
400,001-500,000
500,001-750,000
750,001-1,000,000
1,000,001-3,000,000
3,000,001-5,000,000
5,000,001 and above
Do you have equity in your home?
Select One...
Yes
No
I Don't Know
