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Mission
Criteria
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Direct Lending
Contact
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Personal Information
First Name
Last Name
Email Address
Home Phone
Mortgage Request and Terms
Loan Amount Requested
$
Amount Available for Down Payment
Amount
10%
20%
30%
40%
50%
60%
70%
Refinance
Business Loan
Midpoint Credit Score
Unknown
Property Information and Purpose of Loan
Have you already identified a property to be financed?
Yes
No
Present Address
State
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Purpose of Loan
Purchase
Refinance
Property will be
Primary Residence
Investment
Employment Information
Title/Job Description
Monthly Income
(Before Taxes)
$
Prior Year Annual Income
$
Declarations
Have you been declared bankrupt within the past 7 years?
Yes
No
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
Yes
No
Have you ever sold a property as a result of a short sale?
Yes
No
Are you presently delinquent or in default on any debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?
Yes
No
Please provide a detailed explanation for the above question(s) which you have answered "Yes":