Mortgage Loan Intake Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Applicant Information - Step 1 of 4Name: *FirstLastEmail: *Phone:Preferred Contact Method: *PhoneEmailTextNextPurpose of Loan: *PurchaseRefinanceInvestment PropertyAre you a first-time homebuyer? *YesNoProperty Type: *Single-Family HomeCondoMulti-FamilyOtherOther Property Type *Please specify above what Property Type if your answer is "Other".Estimated Purchase Price or Desired Loan Amount: *Desired Monthly Mortgage Payment Range: *Preferred Loan Term: *15 years20 years30 yearsOtherOther Preferred Loan TermPlease specify above your Preferred Loan Term if your answer is "Other".Preferred Mortgage Type: *FHAConventionalUnsurePreviousNextEstimated Down Payment Amount: *Current Credit Score (if known): *Available Funds for Closing Costs *Employment Status: *W-2 EmployeeSelf-EmployedRetiredOtherOther Employment Status *Please specify above your Employment Status if your answer is "Other".Annual Gross Income: *Monthly Debt Obligations (e.g., car loans, student loans, credit cards): *Are you currently renting or owning? *RentingOwningRenting *If renting, current monthly rent: Owning *If owning, current mortgage payment:Will this home be... *SoldRentedOtherOther Home StatusPlease specify above if your answer is "Other".PreviousNextAre you interested in any special loan programs? * to Layout you How long do you plan to stay in the home? *Less than 5 years5-10 years10+ yearsDo you have any concerns about qualifying for a loan? *YesNoIf yes, please explain here. *Are you currently working with a real estate agent? *YesNoAgent's Name *Any additional comments or considerations:Date:PreviousSubmit