Please fill out the brief information below in order to proceed to the next step.
Name
Email
Address
City
State
Zipcode
Day Telephone
Evening Telephone
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Purchase Price (if you are buying this home)
Estimated Value of Your Home if You Are Refinancing
Loan Amount (the amount you wish to borrow)
Will this loan be placed on your
Primary Residence
Vacation Home
Rental Property
Your current monthly salary from all sources
Your monthly commissions or bonuses averaged for the last two years, if any
Current monthly financial obligations (minimum $ due)
Your total liquid assets i.e. checking, savings, stocks, bonds, IRAs, CDs, money market accounts, 401K plans, etc. that have been under your control for at least the last 90 days.
  


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HomeSmart
1745 S Alma School Rd. Suite 115 • Mesa, AZ 85210
Rox (602) 550-9981 • Rob (602) 550-4813
e-Fax (480) 287-9439