Welcome to ACME Mortgage, Inc., your online mortgage solution on the internet!  We   welcome you to step in and have a look around.

Apply On-line

Instructions

1. Use this form to request mortgage information.
2. Please fill out the general section.
3. Please fill out :
   • the purchase section only if buying a home.
   • the refinance section only if refinancing.
   • the credit line/equity loan section if applying for 2nd mortgage.
4. When finished click on the send button.

A loan officer will contact you. A phone number is required.

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Where did you hear about this Web site?
Please enter the URL of the document that led you to this site:

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GENERAL SECTION

Contact Information

Name:
Address:
City, State, Zip:
Social Security #:
Home Phone: Work Phone:
E-mail:
Best time to reach me:

Property Location

Address:

City: State:

Loan Request

Purchase
Refinance
Credit Line
Home Improvement
Other, please describe:

Loan Amount

Loan amount desired is $

Type of Loan

30 yr fixed
15 yr fixed
30/5 yr fixed
30/7 yr fixed
Adjustable
Haven't decided
Other, please state:

Personal Information

Annual household income is $
My credit history is
excellent
good, but some lates
some credit problems
major credit problems
don't know

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Please fill out :

• the purchase section only if buying a home.
• the refinance section only if refinancing.
• the credit line/equity loan section if applying for 2nd mortgage.

When finished click on the send button.

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PURCHASE SECTION

FILL THIS OUT IF PURCHASING A HOME

Please skip to the next section if refinancing

TimeFrame

Thinking about it
Actively Looking
About to make an offer
Have a sales contract

Realtor Information

I am working with a Realtor
Please refer me to a Realtor
I am buying directly from the seller
I am buying directly from the builder

Purchase Price

I expect to buy a home between $ and $

Down Payment

I expect to put between % and % down

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REFINANCE SECTION

FILL THIS OUT ONLY IF REFINANCING

Please skip to the next section if applying for a second mortgage

Property Value

The property should appraise for $
Don't know

Existing loans on property

1st loan balance $
2nd loan balance $
3rd loan balance $

Reason for Refinancing

Reduce Interest rates
Change from fixed to adjustable
Change from adjustable to fixed
Need cash out. Cash out required $
Other, please specify:

Current loan type

Fixed
Adjustable
Other, please specify:

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SECOND MORTGAGE SECTION

FILL THIS OUT IF REQUESTING A SECOND MORTGAGE, CREDIT LINE, or HOME IMPROVEMENT LOAN

Type of loan

credit line
fixed 2nd mortgage
Other, please specify:

Existing loans on property

1st loan $
2nd loan $
Do any of the loans have negative amortization?
Yes
No
Don't Know

Reason for loan

home improvement
pay off bills
Other, please specify:

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