The items in Red are required

Loan purpose:	Purchase Rate and term refinance Cash-out refinance
Occupancy type:	Owner Occupied Second or Vacation Home Investment Property
Property type:	Single Family Residence Condominium Townhome Duplex Triplex Fourplex Co-Operative Manufactured Home PUD Improved Lot Other Condotel Modular
Number of floors in building?
Purchase price:	$
Loan amount:	$	LTV
Current first mortgage:	$
Current mortgage payment:	$
Month of original purchase:	Select Month January Febuary March April May June July August September October November December
Type of first mortgage:	Fixed ARM Balloon
First allows negative amortization:	Yes No
State:
County:
Annual property tax:	$	Estimate
Annual hazard ins:	$	Estimate
Annual HOA dues (if any):	$
Priority code:
Are you obtaining a Purchase Money Second mortgage?:	Yes No
Do you have a second mortgage/line of credit?:	Yes No
How many months old is this loan?
Pay off loan as part of refinance?	Yes No
Second loan amount:	$
Estimated payment on this loan:	$
Second loan amount:	$
Second payment amount:	$
Will we be providing the second?	Yes No
Credit condition:	I've had recent bankruptcy or foreclosure (300-579) I've had recent collections (580-599) I've had some 90-day late pmts (600-619) I've had some 60-day late pmts (620-639) I've had some 30-day payments (640-659) I have no late pmts but high revolving debt (660-679) I have average credit (680-699) My credit is above average (700-719) I have exceptionally good credit (720-739) I have the highest possible credit rating (740-850)
Estimated closing date:		Estimate
Citizenship status	U.S. Citizen Permanent Resident Alien (Greencard) Non-Permanent Resident Alien (Work Visa) Non-Resident Alien
Employment status	Employee (W-2) Self-Employed or Independent Contractor Other
Document income	Yes No
Specifically state income	Yes No
Document assets	Yes No
Waive escrow requirement	Yes No
First time home buyer	Yes No
Non-occupying co-borrower	Yes No
What type of programs would you like a quote on?
30 Year Fixed20 Year Fixed15 Year Fixed 10 Year Fixed10/1 Fixed-ARM7/1 Fixed ARM 5/1 Fixed ARM3/1 Fixed ARM7 Year Balloon 5 Year Balloon12 Year Fixed3/6 Fixed ARM 5/6 Fixed ARM7/6 Fixed ARM10/6 Fixed ARM

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