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My Mortgage Aid | SimpleQual
What Kind of Loan Are You Looking For?
Type of Loan:
Length of loan desired?:
How soon do you need the loan?: *
Type of Property: *
State where the property is located: *
Desired Loan Amount: ($) *
Estimated Value of the Property: ($) *
Rate your Credit: *
What is your most recent FICO score?
Current Loan Information (Skip if you do not currently have a mortgage)
Amount Owed on Mortgage: ($)
Current Interest Rate (%):
Is this a fixed or variable rate loan?
How long have you had this loan?
What is your current monthly payment? ($)
Have you been late on your mortgage? *
Please Tell Us About Yourself
First Name *
Middle Name
Last Name *
Email Address *
Street Address
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Cellular Phone
Work Phone
Home Phone
Employment Information
What is your Gross (Before Taxes) Monthly
Income? ($) *
How long have you been at your current job? *
If self employed, how long have you been in business?
Miscellaneous Information
Co-Applicant Name (if applicable):
Co-Applicant Gross
(Before Taxes) Monthly Income: ($)
Which would you prefer:
Social Security #
I authorize SimpleQual & RefiStop to run my credit prior to contacting me. This will help save both parties time and allow a precise quote to be given on the spot within minutes! Yes
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