Lower Interest Loans

Use this form to request loan information.
Please fill out as much of this form as possible.
When finished click the "Submit Form" button.
Notice: Filling out this form does not lock in rate nor guarantee rate protection of any kind. Loan applications must be confirmed verbally with a representative. Please call us at the above number to lock-in rate ] and/or to have us answer any of your questions. A loan officer may contact you. A phone number is required.

This Loan Will Be:

(*) Denotes mandatory fields

* Borrower's name

Co-Borrower's name

* Current Address:

* City:

* State:

* ZIP Code:

* Home Phone:

* Email Address:

Co-Borrower's Email Address:

* How would you rate your credit:

How would you rate your credit:(for co-borrowers)

Excellent	Good credit history, an established line of credit, and no late credit payments of any kind.
Good	An established line of credit, no late mortgage payments within the past 2 years, no more than 2 late payments on consumer credit accounts in the past 3 years, and no liens, foreclosures or bankruptcies within the last 7 years
Fair	An established line of credit, no more than 2 late mortgage payments within the past 2 years (none over 30 days late), no more than 5 late payments on consumer credit accounts and/or other lines of consumer credit, and no liens, foreclosures or bankruptcies within the past 2 years.
Poor	Any of the following: Liens, foreclosures or bankruptcies within the last 2 years, multiple late mortgage payments (or more than 30 days late), multiple late payments of 30, 60 and 90 day on other lines of consumer credit, collection and/or repossession issues.

Your Social Security Number:

Their Social Security Number:

Your Date Of Birth:

Their Date Of Birth:

Marital Status:
Single Married Separated

* What State Is The Property In?

* The property is my:
Primary Residence

Second Home

Investment

What Type of Loan do you prefer:

30 Year	5 Year Arm	Other
15 Year	3 Year Arm	Undecided

* The type of home is:

* Desired Loan Amount: Whole Numbers Only, No Commas,Periods, ect.	* Your current mortgage balance: Whole Numbers Only, No Commas,Periods, ect.
* Property Value: Whole Numbers Only, No Commas,Periods, ect.	Purchase Price of House: Whole Numbers Only, No Commas,Periods, ect.
* What Is Your Interest Rate? Whole Numbers Only, No Commas,Periods, ect.	Date of Purchase:(MONTH/ YEAR) /
What Is The Purpose Of The Refinance:	What Is Your Monthly Payment?
How Soon Before You Refinance?	Does it include taxes and insurance? Yes No Do You Have A Second Mortgage? Yes No

* Current employer:	Co-Borrower's current employer:
* Position:	Co-Borrower's position:
* Years there:	Co-Borrower's years there:
* Work Phone:	Co-Borrower's Work Phone:
* Monthly Gross Household Income:	Co-Borrower's Monthly Gross Household Income:
* Total Monthly Debt:
* Assets:
Have you ever had a bankruptcy?	Have you ever had a Foreclosure?
Have you had any tax liens or judgments against you or your property in the last 7 years? Yes No
Select the statement that best describes what you need from our service: I need a loan - find me a few lenders so that I can compare my options I am working with another lender but have not locked in my rate yet. I am interested I have already locked in a rate with another lender and I am just researching other options
Best time to call:

Referred By: