Mini Application

How much can you save?

First Name

Last Name

Phone

Address

Address Line2

City

State

Zip Code

Estimated Home Value $

Current 1st Mortgage Balance $

Principal / Interest Payment $

Yearly Property Tax $

Yearly Home Owners Ins. $

Total PITI $

Loan Type

Property Type

Estimated borrower FICO score

Estimated co-borrower FICO score

Do you have a 2nd?

Yes

Used as purchase money?

Yes

Balance owed $

Payment

We will provide you with 2 estimates. One will be a NO-COST, 30 Year Fixed and the other will be a standard 30 Year Fixed refinance. Estimate will be given only if a savings is available. Other terms available for a quote upon request.

Disclaimer: Estimates provided are subject to change at any time. All estimates are given with numbers provided by the borrower and may not be accurate. A complete loan application and appraisal will be needed prior to any final loan approval. This form is not an agreement to lend.