ONLINE MORTGAGE REFI APP

FIRST NAME
LAST NAME
STREET ADDRESS
CITY
STATE
ZIP
HOME PHONE
CELL PHONE
WORK PHONE
YEARLY PRETAX INCOME
HOME VALUE
1ST MORTGAGE BALANCE
1ST MORTGAGE RATE
1ST MORTGAGE PAYMENT
SECOND MORTGAGE BALANCE
SECOND MORTGAGE PAYMENT
ARE TAXES AND INSURANCE INCLUDED WITHIN THIS PAYMENT?
HOW MUCH ARE YOUR REAL ESTATE TAXES YEARLY?
HOW MUCH IS YOUR HOME OWNERS INSURANCE YEARLY?
WHAT YEAR DID YOU PURCHASE YOUR HOME?
HOW LONG DO YOU PLAN ON LIVING IN YOUR HOME?
RATE YOUR CREDIT (POOR, FAIR, GOOD, EXCELLENT)