Refinancing Form Property Borrower Current Mortgage New Mortgage Goals Credit Income How Did You Hear About UsContact Information "*" indicates required fields Step 1 of 8 – Property 12% Where is your propery located?*Select…*AlabamaArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaIllinoisIndianaKansasKentuckyLouisianaMassachusettsMaineMarylandMichiganMinnesotaNew HampshireNorth CarolinaNew JerseyNew YorkNevadaOhioOregonPennsylvaniaRhode IslandSouth CarolinaTennesseeTexasVermontVirginiaWashingtonWest VirginiaWhat type of property is it? Single Family Home Multi-Family Home Condominium Town Home Are you or your spouse an active military member, reserve member, or veteran? Yes No Do you have a second mortgage? Yes No What's the estimated value of the property?Please enter a number from 80000 to 2000000.What's the remaining balance on the mortgage?Please enter a number from 0 to 2000000.What is your current interest rate?Please enter a number from 2 to 10. What are your mortgage goals? Change mortgage program (FHA vs. Conventional) Change your rate Debt consolidation Make monthly payment more affordable Take cash out Would you like to borrow additional cash? Yes No How much?Please enter a number from 0 to 200000. What's your estimated credit score?Select…580-619620-639640-659660-679680-699700-719720-739740+UnsureHave you ever made any late mortgage payments in the last year? No 1 Late Payment 2+ Late Payments Have you filed for bankruptcy or foreclosure in the last four years? Yes No What's your employment status? Employed Not Employed Self Employed Military Retired Other What's your gross monthly household income?Please enter a number from 0 to 10000. How Did You Hear About Us?Select…Allied Loan OfficerBank RateCurrent/Past CustomerLending TreeOwn UpState specific loan programZillowOtherPlease tell us how you heard about us Loan OfficerSelect a Loan OfficerAdam LeegerAlicia AlpenfelsAndrew NecowitzAndrew SachsAndrew SavardAnsar KhanAnthony MendicinoBeth WoodBlue HessnerBob WexlerBrandon RizkBrandon ShillingBrian WeinbergCaleb RichardsonChristopher ClancyChristopher PetersonDana BrigantiDean RichardsonDeborah SorboDirk WalkerDominick LombardoDonald HolmesEduardo BullerEdward RizkEmily RexEric JonesFazila RashidFrank Gozdalski JrGeorge LambroGeorge SoutoGeorge TheodorouGreg FerrisGreg SchatzHelena AllenJanet AngeloJason HortenJason ZeislerJeff ChillsonJessie ThompsonJoe TroupeJohn KurtzJohn RoanokeJoseph AlviniJoseph KosmanJoseph McCannJoshua BrnichJulie DaleJustin DavitchJustin StranereKailyn McClainKaren ChavezKaren PavlovichKaren RizzoKelly ContineKevin ZensteinKimberly RishelLouis ArpaLuke DeckerMaria LaffredoMaribel AyalaMark CrocettoMatthew TedescoMegan CarrMichael OrdonezMichael PuteloMichelle OteriMike McKeownNancy DavisNancy GarciaNatalie ReimerNeha JainNurul AlamPaul BierlyPaul GaleskiPaula EmondRadha TharoorRebecca MoyerRobert GlazewskiRobin BuchananRon KurzRose DaileyRosemarie Gadsby-DevlinRussell MahrtSarah FergusonSaunda LoveScott BrooksScott RittingerSean GornickSean McConvilleSharan PuriSharyn DiCarloShawn CohenShawn MartinSofia HaasSteve FuhrmanSteven GalinStu ShillingSumit RajpalSummer HolmesSusan ArpaSusana BullerThomas Ippolite, Jr.Thomas KembleTimothy JoselynTodd AdelmanW. Daniel LapicWendy MonacoYazmín Llamas How should your loan officer contact you? Your information is kept confidential. We do not sell or share your information.Name* First Last Email* PhoneBest time to reach you? Δ Prefer to speak to a loan expert? Contact a mortgage expert info@alliedmg.com