IMPORTANT: The more accurate the information you provide us, the more accurate your Analysis will be. Therefore, if you are unsure of any of the following questions, please save this page to your favorites and come back later.

***ALL INFORMATION IS KEPT CONFIDENTIAL AND IS NOT SHARED WITH ANY THIRD PARTIES***

Your Information:

First & Last Name:

Spouse's First & Last Name:

State:
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Phone Number:

Best Day to Call:
As Soon As Possible Any Weekday Mondays only Tuesdays only Wednesdays only Thursdays only Fridays only Any Day During the Weekend Saturdays only Sundays only

Best Time to Call:
As Soon As Possible Early Morning (Before 9am) Morning (9am to 12pm) Afternoon (12pm to 5pm) Evening (5pm to 8pm) Late Evening (After 8pm)

Email Address:

Property type you are paying off:
Primary Residence Second Home Investment Property Commercial Property

How much do you think the property is worth? (You can get a quick online estimate by using Zillow):

First Mortgage

If you have a current mortgage statement, please use it to complete the following section.

What MONTH and YEAR did you close on your current first mortgage (month and year):

What type of mortgage do you have:
50 Year Fixed 40 Year Fixed 30 Year Fixed 25 Year Fixed 20 Year Fixed 15 Year Fixed 10 Year Fixed 30 Year Fixed Interest Only 20 Year Fixed Interest Only 15 Year Fixed Interest Only 10 Year Fixed Interest Only Negative Amortization 7 Year Adjustable 5 Year Adjustable 3 Year Adjustable 2 Year Adjustable 1 Year Adjustable 7 Year Adjustable Interest Only 5 Year Adjustable Interest Only 3 Year Adjustable Interest Only 2 Year Adjustable Interest Only 1 Year Adjustable Interest Only

What was the original loan amount:

What is your current interest rate on your first mortgatge:

What is the current balance on the loan:

What is your monthly payment INCLUDING ESCROWS:

How much are your escrows:

Second Mortgage

If you currently do not have a Second Mortgage, skip this section.

If you have a current mortgage statement, please use it to complete the following section.

What MONTH and YEAR did you close on your current SECOND mortgage (month and year):

What type of SECOND mortgage do you have:
Home Equity Line of Credit 30 Year Fixed 25 Year Fixed 20 Year Fixed 15 Year Fixed 10 Year Fixed

What was the original loan amount:

What is your current interest rate on your SECOND mortgatge:

What is the current balance on the loan:

What is your monthly payment:

Income

What is your NET (after taxes) income PER PAYCHECK (do not include overtime or bonuses):

How often do you get paid (this is very important):
Monthly Semi-Monthly (twice a month) Bi-Weekly (every two weeks) Weekly

If the property you are paying off with the Money Merge Account is a investment property, what is the monthly rent:

Spouse's Income

If you are not married, please skip this section.

What is your NET (after taxes) income PER PAYCHECK (do not include overtime or bonuses):

How often do you get paid (this is very important):
Monthly Semi-Monthly (twice a month) Bi-Weekly (every two weeks) Weekly

Credit Card Debt

What is the TOTAL amount you owe on credit cards:

What is the monthly amount you pay on this debt: (IMPORTANT - Put the amount you actually pay not what you are required to pay, also called your minimum payment, by the credit card provider)

Discretionary income

At the end of the month, after all your other bills are paid (credit cards, gas, food, electric, water, HOA fees, car payments, etc..) how much DISCRETIONARY INCOME is left:

Other Money

How much money do you currently have in a checking/savings account:

Credit

How would you RATE YOUR OVERALL CREDIT:
Excellent (pay bills & mortgage on time) Good (1 month behind on bills or mortgage) Bad (2 months behind on bills or mortgage) Poor (3 or more months behind on bills or mortgage)

CREDIT COMMENTS:
Please explain reasons for derogatories on your credit below

Other Comments

If there is anything you think we should know, please explain below.

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