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* City (where is the home located?

Purchase Refinance Cash out refinance Construction

* Type of loan

Yes No

* Have you owned a home in the last 3 years?

up to $100,000 $100,001 to $120,000 $110,001 to $120,000 $120,001 to $130,000 $130,001 to $140,000 $140,001 to $150,000 $150,001 to $160,000 $160,001 to $170,000 $160,001 to $170,000 $170,001 to $180,000 $180,001 to $190,000 $190,001 to $200,000 $200,001 to $220,000 $220,001 to $240,000 $240,001 to $260,000 $260,001 to $280,000 $280,001 to $300,000 $300,001 to $320,000 $320,001 to $340,000 $340,001 to $360,000 $360,001 to $380,000 $380,001 to $400,000 $400,001 to $425,000 $425,001 to $450,000 $450,001 to $475,000 $475,001 to $500,000 $500,001 to $525,000 $525,000 to $550,000 $550,001 to $575,000 $575,000 to $600,000 $600,001 to $650,000 $650,001 to $700,000 $700,000 to $750,000 $750,001 to $800,000 $800,001 to $850,000 $850,000 to $900,000 $900,000 to $1,000,000 $1,000,000 to $1,500,000 $1,500 to $2,000,000 More than $2,000,000

* Approximate Loan Amount

Excellent (740 above) Great (700 to 739) Good (660 to 699) Fair (620 to 659) Needs some work (619 or lower)

* How is your credit?

* Amount of down payment (if any)

Zero down Minimum down 3.5% down 5% down 10% down 15% down 20% down 25% down 30% down 35% down 40% down 45% down 50% down More than 50% down Yes No

* If buying, have you found a home yet?

Primary Residence Second Home Investment (or rental)

* The home will be used for?

up to $25,000 $25,000 to $50,000 $50,000 to $75,000 $75,000 to $100,000 $100,000 to $150,000 $150,000 to $200,000 $200,000 to $250,000 More than $250,000

* Gross annual income

No Yes

* Bankruptcy in the last 2 years?

Employed Self Employed Military Retired Retired Military Not Employed

* Your employment status

* Name

* Email

Phone

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Clearfield, UT 84015
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Citywide Home Loans NMLS #67180, Idaho #MBL-4515
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