Borrower and Transaction Information

Borrower First Name *

Borrower Last Name *

Borrower Cell Phone *

Borrower Email *

Buyer's Agent Information

Pre-App - Agent First Name *

Pre-App- Agent Last Name *

Pre-App - Agent Email Address *

Pre-App - Agent Phone Number *

Loan Information

Offer Amount *

$

Sales Price *

$

Loan Amount *

$

Loan Program *

Conventional Loan
FHA Loan
VA Loan
USDA Loan
Jumbo Loan
FHA 203(k)
Reverse Mortgage
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Property Type *

Single-Family Residence
Multi-Family Property
Condo
Townhome
Manufactured Home
Modular Home
New Construction
Investment Property
Rural Property
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Loan Terms *

10-Year Fixed
15-Year Fixed
20-Year Fixed
25-Year Fixed
30-Year Fixed
5/1 ARM
7/1 ARM
10/1 ARM
30-Year Fixed (Interest-Only)
40-Year Fixed (Interest-Only or Non-QM)
Custom Term (e.g. 27-Year, 22-Year Refinance)
Construction-to-Permanent Loan
FHA 203(k) – 30-Year Fixed
VA Loan – 30-Year Fixed
USDA Loan – 30-Year Fixed
DSCR Loan – 30-Year Fixed
DSCR Loan – Interest-Only
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Down Payment Amount *

$

Sellers Concession *

$

Please put 0 if there's no Sellers Concession

Loan Officer Information

Loan Officer Full Name *

Loan Officer Email *

Loan Officer Phone Number *

NMLS License Number *

Loan Officer Website *