Purchasing Form Property Borrower Purchase Timeline Home Value Credit Income How Did You Hear About UsContact Information "*" indicates required fields Step 1 of 8 – Property 12% Where are you looking to purchase your home?*Select…*AlabamaArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaIllinoisIndianaKansasKentuckyLouisianaMassachusettsMaineMarylandMichiganMinnesotaNew HampshireNorth CarolinaNew JerseyNew YorkNevadaOhioOregonPennsylvaniaRhode IslandSouth CarolinaTennesseeTexasVermontVirginiaWashingtonWest VirginiaWhat type of property is it? Single Family Home Multi-Family Home Condominium Town Home Is this your first time purchasing property? Yes No Are you or your spouse an active military member, reserve member or veteran? Yes No Where are you in the home buying process? Signed a Purchase Agreement Offer Pending/Found Property Buying in 2-6 Months Researching Options Are you working with a real estate agent? Yes No Real Estate Agent Name Real Estate Agent PhoneReal Estate Agent Email What's the estimated purchase price of the property?Please enter a number from 80000 to 2000000.What is your estimated down payment?Please enter a number from 0 to 20.HiddenWhat is your estimated down payment? ($) What's your estimated credit score?Select One580-619620-639640-659660-679680-699700-719720-739740+UnsureHave you filed for bankruptcy or foreclosure in the last four years? Yes No What's your employment status? Employed Not Employed Self Employed Military Retired Other What's your gross monthly household income?Please enter a number from 0 to 10000. How Did You Hear About Us?Select OneAllied Loan OfficerBank RateCurrent/past customerLending TreeOwn UpState specific loan programZillowOtherPlease tell us how you heard about us Loan OfficerSelect a Loan OfficerAmy DolanBrandon ScherCecelia Johnson-ChavisDiann TylerHeather VespeKelly MacciaMatthew MaiorelliPaul ZlotnikoffRobert FrazierSarah Mann How should your loan officer contact you? Your information is kept confidential. We do not sell or share your information.Name* First Last Email* PhoneBest time to reach you? Δ Prefer to speak to a loan expert? Contact a mortgage expert info@centercitymortgage.com
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