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Free Loan Evaluation

Would you like to know your options?

If you'd like to know your options as far as purchasing or refiancing, please feel free to fill in the form below. Note that you WILL NOT be contacted by phone if you do not request it on the form below. All correspondence can be handled any way you like -- by email, fax, or telephone.

After you submit the form, we will prepare a FREE custom evaluation of your options and email or fax it to you within 7 days. The more information you provide us, the more flexibility we will have in determining what programs are best for you.





Contact Information

First Name:*
Last Name:*
Address:
Street:
City:
State:		Zip Code:
Phone(day):*	- - ext
Phone(eve.):*	- -
Email:
Best Time To Call:*
Type of Loan:

Financial Information

1.*	Household Employment Income:
	Gross Paycheck: $
	Self Employment Income (if applicable):
	2000 Profit from Schedule C (line 29):		$
	2000 Depreciation from Schedule C (line 13):		$
	1999 Profit from Schedule C (line 29):		$
	1999 Depreciation from Schedule C (line 13):		$
2.	Other regular source of income (pensions, disability, alimony, child support), monthly: Notice: Alimony, child support or separate maintenance income need not be revealed if the Borrower (B) or Co-Borrower (C) does not choose to have it considered for repaying of this loan.		$
3.	Can you document your income through Paystubs, W2s, etc.? Yes no
4.	Have you been steadily employed in the same line of work for over two years? Yes No
5.	Please list monthly payments on the following:
	5a.	Car:	$
	5b.	Student Loan:	$
	5c.	Credit Cards (exclude amount that you pay off):	$
	5d.	Other:	$
6.	How would you rate your credit?
7.*	How much cash will be available to use as down payment and cover closing costs, etc.?		$
8.	How much of that amount will be gift money?		$
9.	AFTER YOU CLOSE THE TRANSACTION, how much will you have in the following types of accounts:
	9a.	Checking and Savings Accounts:	$
	9b.	IRA's, Keogh's, and 401K's:	$
	9c.	Stocks and Bonds NOT INCLUDED ABOVE:	$
	9d.	Other:	$
10.*	Property Location:
11.*	Your Property Type:

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