Refinancing Form Property Borrower Current Mortgage New Mortgage Goals Credit Income How Did You Hear About UsContact Information "*" indicates required fields Step 1 of 8 – Property 12% Where is your propery located?*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 Are you or your spouse an active military member, reserve member, or veteran? Yes No Do you have a second mortgage? Yes No What's the estimated value of the property?Please enter a number from 80000 to 2000000.What's the remaining balance on the mortgage?Please enter a number from 0 to 2000000.What is your current interest rate?Please enter a number from 2 to 10. What are your mortgage goals? Change mortgage program (FHA vs. Conventional) Change your rate Debt consolidation Make monthly payment more affordable Take cash out Would you like to borrow additional cash? Yes No How much?Please enter a number from 0 to 200000. What's your estimated credit score?Select…580-619620-639640-659660-679680-699700-719720-739740+UnsureHave you ever made any late mortgage payments in the last year? No 1 Late Payment 2+ Late Payments Have 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…Allied Loan OfficerBank RateCurrent/Past CustomerLending TreeOwn UpState specific loan programZillowOtherFoxNY PostPlease tell us how you heard about us Loan OfficerSelect a Loan OfficerAdam LeegerAlejandro MartinezAlicia AlpenfelsAndre RattrayAndrew NecowitzAndrew SachsAndrew SavardAnsar KhanAnthony MendicinoBeth WoodBlue HessnerBob WexlerBrandon RizkBrandon ShillingBrian WeinbergCaleb RichardsonCandis CarmichaelCarlos AbellaChristopher ClancyChristopher PetersonDana BrigantiDashmesh SinghDeborah SorboDiana LopezDirk WalkerDominick LombardoDonald HolmesDoug HillsEduardo BullerEdward RizkEmily RexFabian LopezFazila RashidFrank Gozdalski JrFrederick BoaduGeorge SoutoGeorge TheodorouGreg SchatzHelena AllenJanet AngeloJason HortenJessie ThompsonJoe TroupeJohn HaglerJohn KurtzJohn LongstreetJoseph McCannJulie DaleJustin FelzerJustin StranereJustin WallaceKailyn McClainKaren PavlovichKaren RizzoKelly ContineKenneth BaltesKevin ZensteinKimberly RishelLouis ArpaLuke DeckerMaria LaffredoMaribel AyalaMark CrocettoMarybeth HecklerMegan CarrMelissa KinzleyMichael OrdonezMichael PuteloMichelle OteriMike McKeownNancy DavisNancy GarciaNatalie ReimerPatrick NitschePaul BierlyPaul GaleskiPaula EmondRadha TharoorRobert GlazewskiRobin BuchananRon KurzRose DaileyRosemarie Gadsby-DevlinRussell MahrtScott BrooksScott RittingerSean GornickSharan PuriSharyn DiCarloShawn CohenShawn MartinShawn McCaffreySofia HaasSteve FuhrmanSteven GalinSumit RajpalSusan ArpaSusana BullerThomas 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