0% Type of Loan: Purchase Refinance Home Description: Single Family Multi-Family Condominium Townhouse Your Credit Profile: Excellent (720 and above) Good (660 – 719) Average (620 – 659) Below Average (580 – 619) Poor (579 and below) Property Use:* Primary Residence Secondary Home Investment Property Property Location:* Purchase Year:* Property Location:* Are you a first-time home buyer?:* Yes No When Do You Plan to Purchase:* Immediately: Signed a Purchase Agreement ASAP: Found a House/Offer Pending Within 30 Days 2 - 3 Months 3 - 6 Months 6+ Months No Time Frame; I am Researching Options Purchase price of the new home:* Estimated Down Payment:* Desired Type of Rate:* Fixed Adjustable Estimated Home Value:* 1st Mortgage Balance:* 1st Mortgage Interest Rate:* 1st Mortgage With:* I don't have a mortgage Bank of America Chase Citibank Quicken Loans Wells Fargo Other Existing Type of Rate:* Fixed Adjustable Do you have a 2nd mortgage?:* Yes No How much additional cash do you wish to borrow?:* Can we interest you in a reverse mortgage?:* Yes No Have you ever refinanced before?:* Yes, I have refinanced before No, I was too busy No, I had a bad experience No, I could not see the financial benefit No, I did not think I would qualify Employment status:* Employed Retired Number of late mortgage payments in the past 12 months?:* None 1 2+ Any bankruptcy in the past 7 years?:* Yes No Do you currently have an FHA loan?:* Yes No I don't know Any foreclosure in the past 3 years?:* Yes No Income Amount (Monthly Income):* Can you show proof of your income?:* Yes No Current Mailing Address Street:* Property Location:* Email Address:* Active or previous U.S. military service?:* Yes No Would you like to be contacted by a real estate agent in your area?:* Yes No Are you or your spouse currently in a VA loan?:* Yes No Current Mailing Address Street:* First Name:* Last Name:* Property Location:* Phone Number:* Date of Birth:* Social Security Number:* I agree to the following terms & conditions I hereby certify that the information given in my submission is complete and correct and is given for the purpose of potentially obtaining a mortgage loan and/or financial services applied for.