What type of property are you purchasing?
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Single Family
Townhome
Condominium
Multi Family Home
How will this property be used?*
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Primary Home
Secondary Home
Rental Property
In what zip code will the property be located
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Please estimate the value of the property
Have you already found your new home
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Yes
No
Are you currently working with a real estate agent
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Yes
No
Do you already have a current rate quote
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Yes
No
Do You Currently Have Accounts With Any Of The Following Banks
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Wells Fargo
Bank of America
Citibank, N.A.
US Bank
Chase
USAA
Ally Bank
None of the above
Is this your first time buying a home
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Yes
No
Will you have a co-borrower
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Yes
No
Are you currently employed
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Full-time
Part-time
Self-employed
No, I'm not employed
Estimate your credit score
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Excellent
Good
Fair
Poor
Have you or your spouse served in the military
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Yes
No
Have you had a bankruptcy or foreclosure in the last 7 years
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No
Bankruptcy
Foreclosure
Both
Address
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City
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State
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ZIP Code
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First Name
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Last Name
*
Email
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Phone
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