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Legal First Name

Legal Last Name

Suffix (OPTIONAL) Examples: Jr., Sr., III, IV, etc.

Marital Status Marital StatusMarriedSeparatedUnmarried

Phone Number

Are you currently an active military personnel, a veteran, or a surviving spouse? Are you currently an active military personnel, a veteran, or a surviving spouse? Yes No

If yes, then what is your current military status? If yes, then what is your current military status?Active DutyNon-activated Member of the ReservesNon-activated Member of the National GuardRetired, Discharged, or Separated from ServiceSurviving spouse

Have you ever had a VA loan? Have you ever had a VA loan? Yes No

Current Address

Mailing Address is same as Current Address Mailing Address is same as Current Address

Tell us about the property you would like to purchase.

Property Type - Select an option Property Type - Select an optionSingle FamilyCondominiumTownhouseTwo to Four Unit PropertyCooperativeManufactured Home

Is this property a planned unit development? Is this property a planned unit development? No Yes

Primary Residence - Select an option Primary Residence - Select an optionSecond / Vacation HomeInvestment / Rental PropertyFHA Secondary Residence

Property County /Municipality

Tell us about the loan you would like to obtain. If you don't know the exact amount, an estimate is fine.

Purchase Price

Down Payment

Loan Amount

Are you applying for or seeking other new mortgage loans on the property you are buying or refinancing? Are you applying for or seeking other new mortgage loans on the property you are buying or refinancing? No Yes

Is any part of the down payment a gift? Is any part of the down payment a gift? No Yes

How much can I afford?

What is considered a gift?

Please Enter your Social Security Number

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