**IMPORTANT PLEASE ANSWER THE BELOW** Name * First Name Last Name Phone (###) ### #### Email * Phone (###) ### #### How did you hear about us? Property Address Is this your Primary Home Rental Other Is your home a Single Family Home Condo Townhome Other Current Balance $ Do you have a 2nd Mortgage on this home? Yes No Balance on 2nd Loan $ What is your current interest rate? What is your main goal for refinance? Shorter Term Debt Consolidation Reduce Payment Other If other, please specify... Are you looking to pull cash out? If so, how much? Estimated Value of Home (or what you think it could sell for) Credit Score Any Major Home Upgrades- If so list out Do you have a TRUST setup? Thank you! We have received your Information and look forward to serving you.