Name
Rate Your Credit
Excellent
Good
Fair
Poor
Address
Cty
State
Zip
Email Address
$
Value of your Home
Phone
$
Loan Balance
Do you have any home equity financing
No
Yes
$
Home Equity Balance (if applicable)
Are you Refinancing Home Equity Loan
No
Yes
$
Would you Like Additional Cash (Amount)
Property Type
Single Family
Townhome
Condominium
$
Monthly Association Fees (if Applicable)
Occupancy Status
Primary
Second Home
Investment Property
$
Total Monthly Debt
BK or Foreclosure in past 7 years
No
Yes
$
Total Gross Monthly Income
Years planning to live in home
1
2
3
4
5
6
7
8
9
10+
Points you prefer to pay
Comments
AAA Mortgage Money LLC - 412-279-4664 412-341-6007 fax
Licensed by the Pa. Dept. of Banking
