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Mortgage Inquiry Form
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Name
Phone
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Preferred Method of Contact
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Email
Phone
Email or Phone
Best Time to Contact
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What is the purpose of your loan?
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Purchase
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Estimated Purchase Price
Downpayment Amount
Approximate Value of Home
Mortgage Balance
What is your current interest rate?
Include a 2nd mortgage?
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Yes
No
Amount needed to borrow
Include remodelling costs in your loan?
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How will you use this property?
Primary Residence
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What state is the property located in?
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Zip
Type of Mortgage Requested
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30 Year
15 Year
Conventional
FHA
VA
Additional Information