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01/110911

TYPE OF LOAN

Purchase
Refinance

02/110911

PROPERTY USE

Primary
SECONDARY
RENTAL
PROPERTY

04/110911

TYPE OF PROPERTY

Single
Family
Condo
MULTI-FAMILY
TOWNHOME

LOAN AMOUNT

$

$0
$1,000,000+

TYPE OF PROPERTY

Single
Family
Condo
MULTI-FAMILY
TOWNHOME

05/110911

ESTIMATED PURCHASE PRICE

$

$0
$1,000,000+

ESTIMATED VALUE

$

$0
$1,000,000+

ESTIMATED CONSTRUCTION COST

$

$0
$1,000,000+

06/110911

ESTIMATED DOWN PAYMENT

0%
3.5%
5%
10%
20% or >

Property Location

CITY

STATE

ZIP

DESIRED AMOUNT TO BORROW

$

$0
$1,000,000+

07/110911

Property Location

City

State

Zip

ESTIMATED CREDIT

Excellent
Good
Fair
Poor

Property Location

City

State

Zip

08/110911

WORKING WITH A REAL ESTATE AGENT?

Yes
No

WORKING WITH LOAN OFFICER

Yes
No

Enter Loan Originator Name

WORKING WITH A BUILDER?

Yes
No

09/110911

ESTIMATED CREDIT

Excellent
Good
Fair
Poor

Contact Info

Name

Phone

Email

ESTIMATED CREDIT

Excellent
Good
Fair
Poor

10/110911

WORKING WITH LOAN OFFICER

Yes
No

Enter Loan Originator Name

WORKING WITH LOAN OFFICER

Yes
No

Enter Loan Originator Name

11/110911

CONTACT INFO

Name

Phone

Email