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Mortgage Information through our partner -
Allied Home Mortgage Capital Corporation
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Tell Us What Type of Loan You Want
Name:
Email:
Co-borrower Name:
Address 1:
Address 2:
City:
State:
Zip:
Phone 1:
Fax:
Preferred Call Time:
I want the...
Purpose of Loan:
Estimated Property Value:
Estimated Loan Amount:
Amount Owed on Current Property:
Property City:
Property State:
Annual Property Taxes:
Annual Homeowners Insurance:
Annual Income:
Available Cash On Hand:
Estimated Closing Date:
Have you already located a house? Yes No
If this is for a refinance please tell us the number of years you expect to be in your house:
Are you using a realtor? Yes No
Realtor's Name:
Realtor's Company:
Realtor's Phone:
Realtor's Email:
Additional Information
Did someone from our office refer you? If so, please enter his or her name in the space provided here.
Please take a moment to tell us your goal for this loan. For example: "I'm looking for a 30-year fixed rate with the lowest down possible". This helps us in determining the best loan program:
This information is being used as a prequalification only and is not an application for credit. In connection with my prequalification, I authorize Allied Home Mortgage Capital Corporation to do an in-file credit report if they so choose. By submitting this form, I agree to accept calls regarding mortgage services offered by AHMCC.
Submitting this form does not obligate you to accept a loan should you be approved, and it does not constitute a rate lock with Allied Home Mortgage Capital Corporation, (AHMCC). The information submitted will remain confidential and will only be used by AHMCC to determine the best loan program for you.
I choose not to have my information shared with third parties or affiliated companies, except as may be required for the purpose it was submitted and where required by state and federal law. Third parties and affiliated companies may include companies with whom Allied has an established relationship to provide you with additional services or products.
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