Mortgage Evaluation Mortgage Consultation Questionnaire Step 1 of 25 4% What type of property are you purchasing?*Single FamilyTownhomeCondominiumMulti Family Home How will this property be used?*Primary HomeSecondary HomeRental Property In what zip code will the property be located?*Please enter the Zip Code Have you already found your new home?*YesNo Are you currently working with a real estate agent?*YesNo When do you plan to buy a home?* Already under contract Immediately- I’m making an offer I’m shopping & am considering a few options Within next couple months Not sure- I want to know what I can afford When do you plan to buy a home?* Already under contract Immediately- I’m making an offer I’m shopping & am considering a few options Within next couple months Do you already have a current rate quote?*YesNo What is the estimated purchase price?* How much are you putting down as a down payment?* Do You Currently Have Accounts With Any Of The Following Banks?* 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?*YesNo Will you have a co-borrower?*YesNo What is your combined annual household income? What is your annual income? Are you currently employed?* Full-time Part-time Self-employed No, I’m not employed Estimate your credit score*ExcellentGoodFairPoor Have you or your spouse served in the military?*YesNo Have you had a bankruptcy or foreclosure in the last 7 years?*NoBankruptcyForeclosureBoth How long ago was the bankruptcy?* How long ago was the foreclosure?* Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name* First Last Email* Phone*NameThis field is for validation purposes and should be left unchanged. All information is secure and will not be sold.