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Thank you for deciding to explore whether the Home Ownership Accelerator® Loan would be a great fit for you. To start the analysis, please answer this quick survey about your current personal financial situation. All of this information will be held in strict confidence, as always. Please complete all fields that are applicable and submit below.

Your Name

Mailing Address

City

State
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Zip Code

Contact Number

Fax

E-Mail Address

Income

Current Home Value

Current 1st Mortgage

Balance

Monthly Payment

Interest Rate

Term
Fixed ARM

Date Obtained

Current 2nd Mortgage (If Applicable)

Balance

Monthly Payment

Interest Rate

Term
Fixed ARM

Date Obtained

Current Expenses

What type of payment(s) are you making now?

Do you have any car payments?

Do you have any credit cards that you do not pay off in full every month?

Do you have the need for immediate cash-out from your home?

What are the current balance(s) in your liquid asset account(s)?

At the end of month, after you deposit your paycheck(s) and pay all your expenses, approximately how much is left over on average?

How did you hear about us?
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