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 Name Real 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.HiddenWhat 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 us Loan OfficerSelect a Loan OfficerAdam LeegerAlicia AlpenfelsAndrew NecowitzAndrew SachsAndrew SavardAngelica HowardAnsar KhanAnthony MendicinoBeth WoodBlue HessnerBob WexlerBrandon RizkBrandon ShillingBrian WeinbergCaleb RichardsonChase YoungChristopher ClancyChristopher PetersonCynthia MyersDana BrigantiDeborah SorboDirk WalkerDominick LombardoDonald HolmesDouglas HillsEduardo BullerEdward RizkEmily RexFazila RashidFrank Gozdalski JrGeorge SoutoGeorge TheodorouGreg FerrisGreg SchatzHelena AllenJanet AngeloJason HortenJason ZeislerJessie ThompsonJoe TroupeJohn KurtzJohn LongstreetJohn RoanokeJoseph AlviniJoseph McCannJoshua BrnichJulie DaleJustin DavitchJustin FelzerJustin StranereKailyn McClainKaren ChavezKaren PavlovichKaren RizzoKelly ContineKevin ZensteinKimberly RishelLouis ArpaLuke DeckerMaria LaffredoMaribel AyalaMark CrocettoMarybeth HecklerMegan CarrMichael OrdonezMichael PuteloMichelle OteriMike McKeownNancy DavisNancy GarciaNatalie ReimerNurul AlamPaul BierlyPaul GaleskiPaula EmondRadha TharoorRobert GlazewskiRobin BuchananRon KurzRose DaileyRosemarie Gadsby-DevlinRussell MahrtScott BrooksScott RittingerSean GornickSean McConvilleSeth EssienSharan PuriSharyn DiCarloShawn CohenShawn MartinSofia HaasSteve FuhrmanSteven GalinStu ShillingSumit RajpalSummer HolmesSusan ArpaSusana BullerTammy HilemanThomas Ippolite, Jr.Thomas KembleTimothy JoselynTodd AdelmanW. 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? Δ Prefer to speak to a loan expert? Contact a mortgage expert info@alliedmg.com