Contact Information

1. Name:
   
2. Email Address:
   
3. Phone Number:
   
4. Address:
   
5. State:
   
6. Zip:
   

Property information

1. Where is your property located? Please Select Arizona California Colorado Nevada Oregon Utah Washington
   
2. What type of property is this? Please Select 2-4 units Apartments Condominium Industrial Office Mixed Use Retail Single-Family Residence
   
3. How will you use the property? Please Select primary residence second home rental or investment
   
4. What is the approximate value of the property? $ Required
5. What is the annual income of the property? $

Information about the requested loan

1. What is your requested loan amount? $ Required
   
2. Approximately how long before you plan to sell or refinance? 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 years
   
3. What is your financial goal?
   Lowest initial monthly payment
   Lowest overall cost
   
   
4. Will you document your income? Yes   No
   
5. Please select the type of loan you want:

   1 month 6 months 1 year

   3 years 5 years 7 years

   10 years 15 years 30 years

Information about your current loan

1. What is your current monthly payment? $ Required
2. When did you get this loan? January February March April May June July August September October November December 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002
   
3. What is the approximate outstanding balance? $ Required
   
4. What is the interest rate on your loan? %
   
5. How long was the interest rate fixed on your current loan? 6 months 1 year 3 year 5 years 7 years 10 years 15 years 30 years
   
6. Over what period is your loan amortized? 10 years 15 years 20 years 30 years
   
7. Does your loan have a pre-payment penalty? Yes     No     Not sure
   
8. If your loan is adjustable: Please estimate for me.
   Otherwise, fill in the following fields
   1. Your loan uses which index? T-bill COFI LIBOR 6 mo. CD other , Your current index rate is: %
   2. What is the margin on your loan? %
   3. What is the lifetime interest rate cap on your loan? %
   4. What is the periodic interest rate cap on your loan?
      Interest Rate Adjustment Features :
      First interest rate adjustment was / will be at 0 1 2 3 4 5 6 7 8 9 10 months, then the rate adjusts 0 1 2 3 4 5 6 7 8 9 10 % every 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 months
      
   5. Does your loan have negative amortization?  Yes     No     Not sure