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Your Name: |
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Email address: |
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Phone: |
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Type of Loan: |
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Home Description: |
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Your Credit Profile: |
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Property Zip Code: |
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Purchase Year: |
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Estimated Home Value: |
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1st Mortgage Balance: |
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1st Mortgage Interest Rate: |
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Existing Type of Rate: |
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Do you have a 2nd mortgage? |
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Yes
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2nd Mortgage Balance: |
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How much additional cash
do you wish to borrow:
“Do not include Mortgage Balances” |
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Gross Annual Income: |
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Employment Status: |
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Time with employer: |
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Name of Employer: |
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Year of Birth: |
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Bankruptcy
in past 7 years? |
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Yes
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2nd Property Street Address: |
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2nd Property City: |
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2nd Property Zip Code: |
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