Loan Type*---HarpRefinance First ConventionalRefinance Second ConventionalCash Out ConventionalDebt ConsolidationPurchaseCommercial Loan RefiCommercial Loan PurchaseFHA Loan RefiFHA Loan PurchaseVA Loan RefiVA Loan Purchase Property Type*---Single Family2-4 PlexCondoCo-opMobileTown House First Name* Last Name* Address* City* State*---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code* Home/Cell Phone* Work Phone Email* Loan Amount* Home Value*Please enter a value between 5000 and 2500000. Mortgage Balance*Please enter a value between 0 and 2500000. Interest Rate* Additional Cash Needed* Credit Rating*---Excellent (740+)Very Good (680 - 739)Good (640 - 679)Fair (601 - 639)Poor (600 or lower) Mortgage Payment StatusNo Late Payments1 Late Payment2 Late Payments3 Late Payments4 Late Payments5+ Late Payments Home Value*Please enter a value between 5000 and 2500000. Down PaymentPlease enter a value between 3000 and 3000000. Credit Rating*---Excellent (740+)Very Good (680 - 739)Good (640 - 679)Fair (601 - 639)Poor (600 or lower) Purchase DateImmediately3 to 6 Months7 to 9 Months10 to 12 Months+1 YearNot Sure