What type of property are you purchasing?

Single Family Home

Condominium

Townhome

Multi-Family Home

Is this your first property purchase?

Yes

No

What is your current property purchase situation?

Signed A Purchase Agreement

Offer Pending / Found Property

Buying in 2 to 6 Months

Researching Options

How will this property be used?

Primary

Secondary Home

Rental Property

What is the purchase price of the new property?

What is your estimated down payment?

What kind of rate do you prefer?

Adjustable

Fixed

What is your gross annual household income?

$

Bankcruptcy, short sale, or foreclosure in the last 3 years?

Yes

No

Can you show proof of income?

Yes

No

Are you working with a real estate agent?

Yes

No

Full Name *

Email *

Phone *

*

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