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County

Home Type Single Family Home Condo Townhome Apartment Other

Property Use Primary Residence Secondary Residence Vacation Home Investment Property

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Estimated 1st Mortgage Balance

$

Property Value (estimate)

$

Do you have a 2nd Mortgage?

Estimated 2nd Mortgage Balance

$

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How much additional money do you wish to barrow (estimate)?

$

Credit Score Excellent (700 or higher) Good (620 to 699) Fair (520 to 619) Poor (under 519)

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First Name

Last Name

Email

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