Loan Type

Purchase
 

Refinance
 

Property Type

Single Family
 

Multi Family
 

Townhouse
 

Condo
 

Property Use

Primary
Residence

Second Home
 

Investment
Property

1st Time Buyer

Yes
 

No
 

Home Buying Status

Under
Contract

Making
Offers

Buying in
1 to 6 months

Researching
Options

Working with an Agent?

Yes
 

No
 

Search Area

Purchase Price

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Estimated Down Payment

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Employment Status

Full-Time
 

Part-Time
 

Self-
Employed

Not
Employed

Other
 

Average Monthly Income

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Can you show proof of income?

Yes
 

No
 

Bankruptcy, Short Sale, or Foreclosure in past 3 years?

Yes
 

No
 

Number of Mortgage Lates in Past 12 Months

None
 

One
 

Two or more
 

Credit Score

Excellent
720 - 850

Good
660 - 719

Average
620 - 659

Below Ave.
580 - 619

Poor
300 - 579

Contact Information

Contact Information

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