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Please take a few moments to fill out the application below. One of our knowledgeable and professional staff members will return your call within one business day to help you analyze your needs and recommend appropriate solutions. This pre-qualification request is not a loan application; it is a request to discuss loan possibilities. Your loan officer will complete a loan application for you should you decide to move forward. Of course, there is no cost or obligation

				First Name Last Name
	1.	*	Your name:
	2.	*	Your E-mail address: (example@eagle1mortgage.com)
			Please send me loan information, newsletters and exclusive offers via email.
			Yes No
	3.	*	Which mortgage(s) would you like to refinance?
			My 1st mortgage My 2nd mortgage My 1st and 2nd mortgages
	4.	*	What is your primary goal?
	5.	*	How much cash do you want to take out of the property, over and above the balance of the loan?	$
	6.	*	What type of home are you refinancing?
	7.	*	When did you purchase it?
	8.	*	State of Property
	9.	*	Please estimate your home's current value:	$
	10.	*	Which mortgage term are you looking for?
	11.		The loan balance on your 1st mortgage is:	$
	12.		What is your current monthly payment?	$
	13.		What is your current interest rate?	%
	14.		Your current mortgage term is:
	15.		Is your current mortgage a VA or FHA?	No VA FHA
	16.		Does your mortgage payment include property taxes and mortgage insurance?	Yes No
	17.		If you have a 2nd mortgage, what is the current balance?	$
	18.		If you have a 2nd mortgage, how much is the monthly payment?	$
The following questions must be answered by all applicants.
	19.	*	What is your household's Gross Income?	$
	(Include commissions, bonuses & child support.)
	20.	*	Please list all TOTAL credit card debt.	$
	21.	*	Please list all Minimum monthly debt payments.	$
	(Credit cards, car payments, furniture payments and student loan. Do not include mortgage payments.)
	22.	*	Please estimate your credit history:
	23.	*	Have you had a foreclosure or filed bankruptcy in the last 7 yrs?
	24.	*	Do you currently have any tax liens or judgments against you or your property?	Yes No

Note: All * fields are required.

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