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 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 GlazewskiRobin BuchananRon KurzRose DaileyRosemarie Gadsby-DevlinRussell MahrtSamuel CoronaSanjiv VigScott BrooksSean GornickShawn CohenShawn MartinShazeem AlliSofia HaasSteve FuhrmanSteve LewisSteven GalinSumit RajpalSupreya MehraSusan ArpaSusana BullerThomas Ippolite, Jr.Thomas KembleW. 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