Contact Information:

Full Name *

Phone *

Email *

Deal Information:

Address

Street Address

City

State

Postal code

Purchase or Refinance?

Purchase or Refinance?

Purchase
Refinance
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Purchase Price(If applicable)

Current Loan amount(If refi)

Financing Details:

Estimated Credit Score Range

Property Type Needed (Single family / 2-4 Unit / Condo / etc)

Property Type:

Single Family
2-4 Unit
Condo
Townhouse
New Construction
Other
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First Time Home Buyer?

Yes/No

Yes
No
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Negative Marks on Credit?

Yes/No

Yes
No
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If yes to Negative credit, explain

Timeline:

Contract Signed? (Yes / No)

Yes or No

Yes
No
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Estimated Closing Date

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Purchase Contract(If applicable)

Scope of Work(If applicable)

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