Audra DeFazio - Mortgage Partner

		PARTNERS WITH

FREE QUICK APPLICATION - GET PREAPPROVED FOR FREE
(REFINANCING)

Current Mortgage Information:
Current 1st Mortgage Balance:
Rate currently on 1st mortgage:
Do you have a second mortgage?
Rate currently have on 2nd mortgage(if applicable)
Type of property:
Occupancy Status:
Value of current home:
Taxes on property:
Desired New Mortgage Information
Desired Loan Amount:
Type of Refinance:
Desired term on loan:
Borrower Information:
First Name:
Last Name:
Address:
City:
State:
Zip:
Length at current address:
Monthly housing payment:
Date of Birth:
Social Security #:
Home Phone:
Business Phone:
Cell Phone:
Email Address:
Place of Employment:
How long on job?
Gross Income:
Assets:
Co-Borrower Information
First Name:
Last Name:
Address:
City:
State:
Zip:
Length at current residence:
Monthly housing payment:
Date of Birth:
Social Security #:
Home Phone:
Business Phone:
Cell Phone:
Email Address:
Place of Employment:
How long on job?
Gross Income:
Assets:
Comments and Questions:
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How did you hear about us?	Specify:

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