Purchasing Form Property Borrower Purchase Timeline Home Value Credit Income How Did You Hear About UsContact Information "*" indicates required fields Step 1 of 8 – Property 12% Where are you looking to purchase your home?*Select…*AlabamaArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaIllinoisIndianaKansasKentuckyLouisianaMassachusettsMaineMarylandMichiganMinnesotaNew HampshireNorth CarolinaNew JerseyNew YorkNevadaOhioOregonPennsylvaniaRhode IslandSouth CarolinaTennesseeTexasVermontVirginiaWashingtonWest VirginiaWhat type of property is it? Single Family Home Multi-Family Home Condominium Town Home Is this your first time purchasing property? Yes No Are you or your spouse an active military member, reserve member, or veteran? Yes No Where are you in the home buying process? Signed a Purchase Agreement Offer Pending/Found Property Buying in 2-6 Months Researching Options Are you working with a real estate agent? Yes No Real Estate Agent NameReal Estate Agent PhoneReal Estate Agent Email What's the estimated purchase price of the property?Please enter a number from 80000 to 2000000.What is your estimated down payment?Please enter a number from 0 to 20.This field is hidden when viewing the formWhat is your estimated down payment? ($) What's your estimated credit score?Select One580-619620-639640-659660-679680-699700-719720-739740+UnsureHave you filed for bankruptcy or foreclosure in the last four years? Yes No What's your employment status? Employed Not Employed Self Employed Military Retired Other What's your gross monthly household income?Please enter a number from 0 to 10000. How Did You Hear About Us?Select OneAllied Loan OfficerBank RateCurrent/past customerLending TreeOwn UpState specific loan programZillowOtherFoxNY PostPlease tell us how you heard about usLoan OfficerSelect a Loan OfficerAjsa HebibovicAndre RattrayAndrew NecowitzAndrew SachsAndrew SavardAnthony MendicinoBeth WoodBianca AlvarezBob WexlerBrandon RizkBrandon ShillingBrendan BarryCaleb RichardsonCathy FernandesChristopher ClancyChristopher PetersonDashmesh SinghDavid KnausDiann TylerDominick LombardoDonald HolmesDoug HillsEduardo BullerEdward RizkFazila RashidGeorge TheodorouGreg SchatzGregory BettsHelena AllenJanet AngeloJarnail SinghJason HortenJohn HaglerJohn LongstreetJoseph McCannJustin StranereJustin WallaceKailyn McClainKaren PavlovichKevin ZensteinKimberly RishelLacey HoodMac-Clen PierreManada SinghMaria LaffredoMaribel AparicioMark CrocettoMaryanne DaoMarybeth HecklerMegan CarrMichael PuteloMichael SweeneyMichelle OteriMike McKeownNancy DavisNancy GarciaNatalie ReimerPatrick NitschePaul BierlyPaul GaleskiPaula EmondRadha TharoorRajwinder KaurRichard OrozcoRobert AdamsRobert GlazewskiRobin BuchananRon KurzRose DaileyRosemarie Gadsby-DevlinRussell MahrtSamuel CoronaSanjiv VigScott BrooksSean GornickSharyn DiCarloShawn CohenShawn MartinShazeem AlliSofia HaasSteve FuhrmanSteve LewisSteven GalinSumit RajpalSupreya MehraSusan ArpaSusana BullerThomas Ippolite, Jr.Thomas KembleTrevor KengleW. Daniel LapicWendy MonacoYazmín Llamas How should your loan officer contact you? Your information is kept confidential. We do not sell or share your information.Name* First Last Email* PhoneBest time to reach you?By clicking “I agree” and “Submit,” you agree to Allied Mortgage’s Terms of Use and Privacy Policy. You consent to receive phone calls and SMS messages from Allied Mortgage to provide updates/support concerning your loan and/or for marketing purposes. Message frequency may vary, message and data rates may apply. You may opt-out by texting “STOP.” Reply “HELP” to receive help. Please see our Privacy Policy, linked Here. Δ Prefer to speak to a loan expert? Contact a mortgage expert info@alliedmg.com