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Quick Application

	Borrower	Co-Borrower
First Name
Last Name
Phone Number
Email Address
Credit Score (if known)
Purpose
Purchase - If this is for a purchase, are you a first-time homebuyer? Yes No Refinance Refinance w/ Cash Out
Current Mortgage Info
1st Mortgage Balance
2nd Mortgage Balance
3rd Mortgage Balance
Estimated Home Value
Mortgage Payments
1st Mortgage
2nd Mortgage
3rd Mortgage
Are your taxes and insurance included in your payments? Yes No
Annual Property Taxes
Annual HOA Payments
Annual Mello-Roos Payments
In the past 3 years, how many of your mortgage payments have been more than 30 days late?
Additional Questions
In the past 3 years, how many of your credit card payments have been more than 30 days late?
Have you ever declared bankruptcy? Yes No