Form

LOAN QUOTE QUESTIONNAIRE

No Registration! No Application Fees. No Obligations ! We dont pull credit.

NO SECURITY QUESTIONS. WE ENCOURAGE REALTORS TO COMPLETE THIS QUESTIONNAIRE ON BEHALF OF THEIR CLIENTS.

PRIMARY BORROWERS NAME *

PRESTATARIOS NOMBRE

ARE YOU A US CITIZEN!

YES NO

YOUR EMAIL ADDRESS *

DIRECCIÓN DE EMAIL

YOUR MOBILE PHONE NUMBER *

We sometimes text loan progress, status and updates

PRIMARY BORROWER CREDIT *

ARE YOU SELF-EMPLOYED ? *

YES NO

LOAN AMOUNT (approximately) *

APPROXIMATE LOAN AMOUNT *

WHERE IS YOUR PRIMARY INCOME DEPOSITED *

BUSINESS ACCT PERSONAL ACCT BOTH

SELECT TAX FORM YOU FILE? *

1099 - Contractor W-2 - Employee ITIN Retired - No taxes

BORROWER CREDIT EVENTS IN 3 YRS ? *

FORECLOSURE SHORT SALE BANKRUPTCY NONE

BANKRUPTCY DISCHARGED DATE

FORECLOSURE SETTLEMENT DATE

SHORT SALE DATE

LOAN TYPE *

PURCHASE REFINANCE CASH OUT REFI

PROPERTY ADDRESS

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

SPECIFIC LOAN PROGRAM (OPTIONAL)

AVAILABLE TERMS *

PROPERTY TYPE *

PROPERTY USE *

ARE YOU A FIRST TIME HOME BUYER? *

YES NO

ARE YOU UNDER A PURCHASE CONTRACT? *

YES NO

LANGUAGE PREFERENCE OTHER THAN ENGLISH

SPANISH PORTUGEUSE CREOLE FRENCH

IS THERE A CO-BORROWER ? *

YES NO

CO-BORROWERS FULL NAME

CO-PRESTATARIOS NOMBRE

CO-BORROWERS CREDIT *

IS THE CO-BORROWER A US CITIZEN?

YES NO

REALTORS NAME (optional)

NOMBRE DE TU AGENTE

REALTORS EMAIL (optional)

AGENTE SU CORREO ELECTRÓNICO

Was this form prepared by a Realtor? *

YES NO

REQUESTS -- COMMENTS -- QUESTIONS

Referral (optional)