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Ideal Monthly Payment:
(including principle, interest, taxes,
insurance, association dues, etc)
Requested Loan Type:
Estimated Down Payment:
Annual Household Income:
salary
hourly
Approx Total Monthly Debt:
(car payments, credit cards,
student loans, etc)
Assets (savings):
How is your Credit?:
Comments:
Property Type:
Future Resident Status:
First Time Home Buyer?:
Comments:
Name (first, last):
e-mail address:
Verify your e-mail address:
Daytime Phone:
Subject:
Current Address:
(if applicable) Unit:
City:
State:
Zip Code:
Do you currently own a
home that will need to be
sold?
Comments:
Your personal information is strictly confidential and will be shared
with a professional mortgage consultant from one of our member
banks. By submitting this form with your telephone number you are
consenting for Blue Fence Real Estate and one member bank to
contact you even if your name is on the Federal "Do-not-call List" to
provide you with a FREE mortgage preapproval.
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Financial Information
2

Property Information
3

Contact Information
Free Mortgage Pre-Approval