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 programZillowOtherPlease tell us how you heard about us Loan OfficerSelect a Loan OfficerAdam FinkAdam LeegerAlicia AlpenfelsAndrew NecowitzAndrew SavardAnsar KhanAnthony MendicinoBlue HessnerBob WexlerBrandon ShillingBrian WeinbergCaleb RichardsonChae YimChristopher ClancyChristopher PetersonDean RichardsonDeborah SorboDirk WalkerDominick LombardoDonald HolmesDonna BeaulieuDouglas WebbEmily RexEric JonesFazila RashidFrank Gozdalski JrGeorge LambroGeorge SoutoGeorge TheodorouGreg SchatzGregory PitcherHelena AllenJanet AngeloJason ZeislerJeff ChillsonJohn KurtzJohn RoanokeJoseph AlviniJoseph KosmanJoseph McCannJoshua BrnichJulie DaleJustin DavitchJustin StranereKailyn McClainKaren ChavezKaren PavlovichKaren RizzoKevin ZensteinKimberly RishelLouis ArpaLouis BrayerLuke DeckerMaria LaffredoMaribel AyalaMark CrocettoMatthew TedescoMegan CarrMichael PuteloMichelle OteriMike McKeownNancy DavisNancy GarciaNatalia OnendiaNatalie ReimerNeha JainNicholas PadenPaul BierlyPaul GaleskiPaula EmondRadha TharoorRebecca MoyerRobin BuchananRose DaileyRosemarie Gadsby-DevlinRussell MahrtSaunda LoveScott BrooksScott RittingerSean GornickSean McConvilleSharan PuriSharyn DiCarloShawn CohenShawn MartinSofia HaasSteve FuhrmanSteven GalinStu ShillingSumit RajpalSummer HolmesSusan ArpaThomas Ippolite, Jr.Thomas KembleTodd 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 877-448-2745 info@alliedmg.com
