Quote
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To receive a no hassle quote fill in this form:
First Name:
Last Name:
Email:
Company:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Phone Number:
Fax Number:
I would like to recieve a loan quote
what type of loan are you looking for?:
what property will you be using to finance this loan?:

For an in-depth quote fill out the bottom form.
Mortgage Supermarket Questionnaire:
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Would you like a FREE no obligation Loan Quote!  You could save substantially for a few minutes of your time.
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First we need to know about the type of property you are looking for:______________
                                                                          (New Home, Refinance loan, Remodeling,
                                                                           Second Mortgage, Debt Consolidation)

What type of residence will                             The home I'd like to finance is:____________
you be using:_________________                      (Single family, townhouse, condo, co-op,
(Primary residence, 2nd home,                             multifamily, mobile home)
or Investment Property)

I currently have the following type of                I currently qualify for the following type of federal
federal loan:_______________                        loan:_____________
(None, FHA, VA)                                               (None, VA Loan, FHA Loan)

Are you interested in a no-document               I would like to find this loan in the next:_________.
loan?_______ (no/yes).                                    (60 days, 30 days, 90 or more, I'm stilling shopping  
                                                                              loans)
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Next we need to know about your current mortgage:

What term of loan are you looking for?      Your current mortgage monthly payment is:
______________(30 yrs, 15yrs)                    _______________.

Current mortgage interest rate:                 What is the total loan desired?
______________%.                                       $______________.

How much is your home currently             Your home's original sale price:
worth: $____________.                                 $_____________.

How long have you owned your home:   Your current mortgage balance:             
_____ years.                                                     $ _____________.

Do you have a 2nd home loan?                2nd mortgage balance:
_______(No/Yes).                                           $_____________.

2nd mortgage monthly payment:                  2nd mortgage interest rate:
$_______ .                                                       _______%.
-------------------------------------------------------------------------------------------------------------------------------------Finally we need to know about yourself:

E-mail Address:_____________________       Are you self-employed?_________(yes/no)

First Name:_____________                                If no, how long have you been with your current
                                                                               with your employer? __________ years.

Last Name:_____________                                How much do you gross each month:
                                                                  $____________.                    

Address Line 1:                                                     What type of loan do you want?
__________________________________         ______________(fixed/adjustable).

City:___________________                                How is your credit?_______________.
                                                                                 (excellent, poor, ok, bad)

State:____  Zip Code________                            How much do you owe each month:
                                                                                  $____________.

Day Phone:__________________                 Have you ever thought of selling your home.       
                                                                                 ________(yes/no).

Eve Phone:__________________                 If yes, what is your time frame for selling?
                                                                                  ___________.

Best time for a licensed professional          Would you like a real estate broker to call
to call?_______________.                             you and explain your options?______(yes/no).
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Please print out this form and fax to (407)-345-8424.


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