APPLICANT E-MAIL (Appl) CO-APPLICANT E-MAIL (Co-Appl) ADDRESS CITY STATE (please select) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana North Carolina North Dakota Nebraska Nevada New Hampshire New Jersey New Mexico New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Virgin Islands Vermont Washington West Virginia Wisconsin Wyoming POSTAL CODE HOME PHONE WORK PHONE WHAT IS BEST TIME TO CONTACT YOU (please select) Morning at Home Morning at Work Afternoon at Home Afternoon at Work Evening at Home Late Evening at Home TYPE OF HOME PURCHASING (please select) Single Family Detached Duplex Townhouse Condominium Cooperative Manufactured/Modular PROPERTY USE (please select) Primary Residence Second/Vacation Property Investment Property CURRENT VALUE OF HOME     RATE YOUR CREDIT (please select) Excellent Good Fair Poor EMPLOYMENT STATUS (please select) Employed Self-Employed Retired Not Employed PLACE OF EMPLOYMENT YEARS AT COMPANY MONTHLY GROSS HOUSEHOLD INCOME MONTHLY DEBT (not including mortgage/rent) LOAN AMOUNT DESIRED AMOUNT OF DOWNPAYMENT CASH DESIRED AT CLOSING HAVE YOU FOUND A HOME (please select) Yes No ARE YOU A FIRST TIME HOME BUYER (please select) Yes No PURCHASE TIMEFRAME WHAT IS YOUR LOAN GOAL? (please select) I am looking for a lender and comparing loans I have a lender, but looking at other options I am just checking rates PLEASE ENTER INFORMATION THAT YOU FEEL IS IMPORTANT TO THE LENDERS.