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Are you*
- Buying
- Refinancing

What process are you in?*
- I'm just resarching
- I'm going to open houses
- I'm making offers
- Offer pending/found property
- Signed a purchase agreement

Great! How can we help?*
- Get a pre-approval
- See how much I can afford
- Estimate a homes cost
- Find a real estate agent

When do you plan on purchasing property?*
- 0-3 months
- 3-6 months
- 6+ motnhs
- Not sure

Where are you looking?*
First

How will this property be used?*
- Primary Home
- Secondary Home
- Investment

What property type will this be?*
- Single Family
- Condominium
- Townhome
- 2 to 4 units

Are you a first-time homebuyer?*
- Yes
- No

What is the purchase price of the new property?*

What is your estimated down payment?*

What is your estimated credit score?*
- 500-550
- 550-600
- 600-650
- 650-700
- 700-750
- 750+

What is your employment status*
- Employed
- Not Employed
- Self Employed
- Military
- Other

What is your gross annual household income?*

Bankruptcy, Shortsale or Foreclosure in the last 3 years?*
- Yes
- No

Are you working with a real estate agent?*
- Yes
- No

What is your Full name*
First
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What is your Email*
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What is your phone number*
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What type of home are you refinancing?*
- Primary
- Secondary
- Investment

What property type is it?*
- Single Family
- Townhome
- 2 to 4 units

What year did you purchase the home?*
- 2010+
- 2000-2009
- 1990-1999
- Before 1990

Estimated Home Value*

What is the remaining 1st mortgage balance?*

What is your first mortgage interest rate?*

Do you have a second lien/mortgage/HELOC*
- Yes
- No

What is your estimated credit score?*
- 500-550
- 550-600
- 600-650
- 650-700
- 750+

What kind of rate do you have?*
- Adjustable
- Fixed

How will the property be used?*
- Primary
- Secondary
- Rental

Would you like to borrow additional cash?*
- $0 (no cash)
- $10,000 -20,000
- $20,000-30,000
- $30,000-40,000
- $40,000-50,000
- $50,000-100,000
- $100,000+

What is your employment status*
- Employed
- Not Employed
- Self Employed
- Military
- Other

Can you show proof of income?*
- Yes
- No

Bankruptcy, Shortsale or Foreclosure in the last 3 years?*
- Yes
- No

Any late mortgage payments last 12 months?*
- Yes
- No

What is your average monthly income*

What are your average monthly expenses*

Do you currently have an FHA loan?*
- Yes
- No

What is your Email*
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What is your phone number?
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