First and Last Name Phone Email Type of Home Single Family Multi-Family Townhouse Condominium Credit Profile Excellent Good Fair Poor Unsure Have you already found a property to purchase? Yes No Is this your first time purchasing a home? Yes No What is the intended use of the property? Primary Vacation Investment Estimate the value of the property you wish to purchase: What type of loan are you looking for? Fixed Adjustable Option Other Not Sure Are you the primary borrower? Yes No Is there a co-borrower? Yes No What is your average monthly income? Has the primary or co-borrower filed for bankruptcy in the last seven years? Yes No Submit
