Rob Mannino Mortgage Consultant 480-570-4500 rob@azhomeloanguy.com
Full Name:
Home Phone Number:
Mobile Phone Number:
Email Address:
Current Address:
How Many Months Have You Been at Your Current Address? 0-12 12-24 24-36 36-48 48+
Do You Currently Own or Rent? Own Rent Rent Free with Family Other
What is the Transaction Type? Purchase Cash Out Refi Rate & Term Refi Home Equity Loan Commercial Construction Other
What is Your Time Frame for This Transaction? ASAP 1-2 months 2-4 months 4-6 months 6 months+
Are you a First Time Home Buyer? Yes No N/A
If Refi, What is the Estimated Value of Your Home?
If Refi, What is the Existing Lien Amount on the Property?
What Type of Loan are You Looking For? Fixed Rate ARM Option ARM HELOC HELOAN Reverse Mortgage Lot Loan Commercial Construction Other
How Much Do You Want to Borrow?
Current Employer:
Current Position:
Work Phone Number:
Years at Current Employer: Under 1 yr 1 yr 2 yrs 3 yrs Over 3 yrs
Gross Monthly Income (Before Taxes):
Estimated Monthly Debt (Housing, Autos, Credit Cards, Child Support and/or Alimony if Applicable):
Have You Ever had a Bankruptcy or Foreclosure? Bankruptcy Foreclosure None
To the Best of Your Knowledge, How is Your Credit? Excellent Good Fair Poor Unknown
What is the Best Method to Reach You? Email Home Phone Work Phone Mobile Phone Mail
How Did You Hear About Us? Phone Mail Friend Advertisment Email Internet Other
