| Contact Information |
Tell Us About Your Property |
First name:
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Type of house owned:
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Last name:
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Type of loan desired:
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Street address:
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Current home value:
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City:
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Balance remaining on mortgage:
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State:
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Zip:
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Desired loan amount:
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Home phone:
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Fixed or adjustable?
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Current interest rate:
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Work phone:
(
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ext.
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How would you rate your credit?
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Email address:
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How did you hear about Downs Financial?
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Comments & Special Considerations:
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