Type of Loan

Details for All Loans

My Closest 1stFlorida Broker: Please select a location Cape Coral Coral Springs Ft Lauderdale Hialeah Jacksonville Miami Orlando Pembroke Pines St Petersburg Tallahassee Tampa W Palm Beach Out of State

Home Type: Please select a home type Single Family Home Land or Lot Town House Condominium Modular Home Manufactured 2-4 Unit

How soon do you need the loan? Ready Now 30-60 Days More than 60 days

Current Estimated Debt: Total unsecured debt: ie.) credit cards, back taxes, debt consolidation, etc.

Home Equity and Refinance Loan Details

Current Home Value: Appraised Value of Home (ex: $100,000)

Current Payoff Value: Principal Balance of Home (ex: $80,000)

New Home Purchase Loan Details

Estimated Sales Price: ex: $100,000

Estimated Down Payment: ex: $100,000

Are you a first time buyer?

Yes No

Have you found your new home?

Yes No

Borrower Information

Are you applying with a co-borrower?

Yes No

Marriage Status?

Married Single

Credit Score: Please select your credit score <540 Bad 540-639 Poor 640-679 Fair 680-719 Good 720-759 Very Good >760 Excellent

Date of Birth: ex: (month/day/year)

Annual Income: Please select your income $30000 $40000 $50000 $60000 $80000 $90000 $100000 $125000 $150000 $200000 $250000 >$250000 Please include combined income if co-borrowers

Contact Information

First MI Last
Name:

Address:

City State Zip
FL Other

Home Phone: - -

Work Phone: - -

Cell Phone: - -

Best time to call: Central Standard Time

E-Mail Address:

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