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Please complete the form below (required fields are marked with *):
First name: *
Last name: *
E-mail address: *
Home phone: *
Purpose of Loan:
*
Please Select
Purchase, property identified
Purchase, looking for property
Refinance
Construction
Construction-Permanent
Home Equity Loan/Line
Reverse Mortgage
Property Value:
*
$
Loan Program:
*
Please Select
Unsure
Conforming 30 year fixed
Conforming 30 year fixed biweekly
Conforming 20 year fixed
Conforming 15 year fixed
Conforming 15 year fixed biweekly
Conforming 10/1 ARM
Conforming 30/7 or 7/1 ARM
Conforming 30/5 or 5/1 ARM
Conforming 3/1 ARM
Conforming Adjustable
Conforming 40 year fixed
Conforming 10 year fixed
Conforming 25 year fixed
Jumbo 30 year fixed
Jumbo 30 year fixed biweekly
Jumbo 20 year fixed
Jumbo 15 year fixed
Jumbo 15 year fixed biweekly
Jumbo 10/1 ARM
Jumbo 7/1 ARM
Jumbo 5/1 ARM
Jumbo 3/1 ARM
Jumbo Adjustable
Jumbo 40 year fixed
Jumbo 10 year fixed
Jumbo 25 year fixed
Conforming 1 month COFI ARM
Conforming 3 month COFI ARM
Conforming 6 mo CD ARM
Conforming 1 year tbill ARM
Jumbo 1 month COFI ARM
Jumbo 3 month COFI ARM
Jumbo 1 year tbill ARM
Loan amount you are applying for:
*
$
or
% Down payment
Credit:
*
Excellent
Good
Fair
Not sure
Where is the property located?
Street Address:
City:
State:
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Maine
Maryland
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Zip:
Property type:*
Please Select
Single family
Condominium
Townhouse
Cooperative
Duplex
Triplex
Fourplex
Planned Unit Development
Office
Warehouse
Apartment Bldg.
Industrial
Retail
Restaurant
Other
Property Use:*
Please Select
Primary Residence
Secondary Residence
Investment (rental)
How did you hear about us? *
Please Select
PAYBACK
Google
Yahoo
BankRate.com
Newspaper
Internet
Referral
Realtor.com
CNN Money
MTA
Real Estate Digest
Television
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CRA Letter
Letter/Call Received
Prior Customer Checkup
Craigslist
Zillow.com
Other
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490 North Main Street 2nd Floor, Randolph, MA 02368
P: 781-986-1157, F : 781-986-1127,
E-Mail:
drg@dependablerealtygroup.com
© 2006 Dependable Realty Group, LLC