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Complete this form if:
You would like to be pre-approved to buy a home or obtain an
LSR
(
L
oan
S
tatus
R
eport ).
You are interested in
Refinancing
your home to a lower rate or needing cash out.
You are interested in obtaining a
2nd mortgage
or a line of credit.
Once your information is submitted, a qualified Loan Officer will contact you within 1 hour.
Thank you for choosing LenderMae
Step 1 - Contact Information
Loan Type
----Select Loan Type----
Purchasing a new home
Refinancing
Take out a second mortgage
First Name
Last Name
Address 1
Address 2
(Optional)
City
State
----Select State----
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Phone
(
)
Email
Best time to contact
--Select--
Morning
Afternoon
Evening
Step 2 - Property Information (
Same as Home Address)
Address 1
Address 2
(Optional)
City
State
----Select State----
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
What is your annual income before taxes
$
Are you working with a realtor
Yes
No
Do you currently own a home
Yes
No
Is your home currently on the market for sale
Yes
No
How much is your down payment
$
When do you plan to make this purchase
--Select--
Less than 30 days
Less than 60 days
Less than 120 Days
Structure Type
----Select Structure type----
Single Family Detached
Condo
Manufactured Home
Townhome
Tri or Fourplex
Undeveloped Land
Are you Self Employed
Yes
No
What is your credit rating
----Select Credit Rating----
Perfect (>720)
Great (660-719)
Good (640-659)
Fair(620-639)
Marginal(600-619)
Poor (580-599)
Damaged (<580)
Have you had a Bankruptcy
Yes
No
Bankruptcy within the past
---Select---
48 months
36 months
24 months
12 months
What is the occupancy of this property
----Select Occupancy----
Owner Occupied
Second Home
Non-Owner Occupied
What is your annual income before taxes
$
Estimate the Value of your home
$
When did you Purchase this Property
Are you needing Cash out
Yes
No
Credit Rating
----Select Credit Rating----
Perfect (>720)
Great (660-719)
Good (640-659)
Fair(620-639)
Marginal(600-619)
Poor (580-599)
Damaged (<580)
Have you had a Bankruptcy
Yes
No
Bankruptcy within the past
---Select---
48 months
36 months
24 months
12 months
How much do you owe on the property
$
What is your interest rate
--Select--
3.00%
3.25%
3.75%
4.00%
4.25%
4.50%
4.75%
5.00%
5.25%
5.50%
5.75%
6.00%
6.25%
6.50%
6.75%
7.00%
7.25%
7.50%
7.75%
8.00%
8.25%
8.50%
8.75%
9.00%
9.25%
9.50%
9.75%
10.00%
10.25%
10.50%
10.75%
Do you have a second mortgage on this home
Yes
No
How much do you owe
$
What is the interest rate
--Select--
3.00%
3.25%
3.75%
4.00%
4.25%
4.50%
4.75%
5.00%
5.25%
5.50%
5.75%
6.00%
6.25%
6.50%
6.75%
7.00%
7.25%
7.50%
7.75%
8.00%
8.25%
8.50%
8.75%
9.00%
9.25%
9.50%
9.75%
10.00%
10.25%
10.50%
10.75%
Are you Self Employed
Yes
No
Structure type
----Select Structure type----
Single Family Detached
Condo
Manufactured Home
Townhome
Tri or Fourplex
Undeveloped Land
Is your current rate
Adjustable
Fixed
What is the occupancy of this property
----Select Occupancy----
Owner Occupied
Second Home
Non-Owner Occupied
What type of financing would you prefer
----Select Financing type----
Fixed Rate
5/1 arm
3/1 arm
7/1 arm
Interest only
1.5% Option Arm
Other
What is the reason for refinancing
----Select Refinancing type----
Lower my payments
Debt consolidation
Cash out
Lower my term
Other
What is your annual income before taxes
$
Estimate the Value of your home
$
When did you Purchase this Property
How much cashout would you like on this second mortgage
$
Is this Cash out for
--Select--
Home Improvement
Pool
Debt Consolidation
Other
Credit Rating
----Select Credit Rating----
Perfect (>720)
Great (660-719)
Good (640-659)
Fair(620-639)
Marginal(600-619)
Poor (580-599)
Damaged (<580)
Have you had a Bankruptcy
Yes
No
Bankruptcy within the past
---Select---
48 months
36 months
24 months
12 months
How much do you owe on the property
$
What is your interest rate
--Select--
3.00%
3.25%
3.75%
4.00%
4.25%
4.50%
4.75%
5.00%
5.25%
5.50%
5.75%
6.00%
6.25%
6.50%
6.75%
7.00%
7.25%
7.50%
7.75%
8.00%
8.25%
8.50%
8.75%
9.00%
9.25%
9.50%
9.75%
10.00%
10.25%
10.50%
10.75%
Do you have a second mortgage on this home
Yes
No
How much do you owe
$
What is the interest rate
--Select--
3.00%
3.25%
3.75%
4.00%
4.25%
4.50%
4.75%
5.00%
5.25%
5.50%
5.75%
6.00%
6.25%
6.50%
6.75%
7.00%
7.25%
7.50%
7.75%
8.00%
8.25%
8.50%
8.75%
9.00%
9.25%
9.50%
9.75%
10.00%
10.25%
10.50%
10.75%
Are you Self Employed
Yes
No
Structure type
----Select Structure type----
Single Family Detached
Condo
Manufactured Home
Townhome
Tri or Fourplex
Undeveloped Land
What is the occupancy of this property
----Select Occupancy----
Owner Occupied
Second Home
Non-Owner Occupied
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