Secure Order Form

Fill out this quick and easy online form to get started on the pre-qualification process!

First Name
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Field is required!
Last Name
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Email Address*
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Phone#
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Date of Birth
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SSN
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Comments*
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PROPERTY INFORMATION

  • - Purpose of Loan - *
  • Purchase
  • Refinance
- Purpose of Loan - *
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Field is required!
  • - Type of Property -
  • Primary - Single Family
  • Primary - Condo
  • Primary - Mobile Home
  • Primary - TownHome
  • Second Home - Single Family
  • Second Home - Condo
  • Second Home - Mobile Home
  • Second Home - TownHome
  • Investment - Condo
  • Investment - Mobile Home
  • Investment - TownHome
- Type of Property -
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Field is required!
  • - Term of Loan -
  • 30 year fixed
  • 15 year fixed
  • 10 year ARM
  • 5 year ARM
  • 3 Year ARM
  • Other
- Term of Loan -
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LOAN INFORMATION ABOUT REFINANCING

Please estimate your homes current value?
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How much cash would you like to get out of your home?
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What is the loan balance on your first mortgage?
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What is the loan balance on your second mortgage if any?
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What is your current interest rate?
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What is your current monthly payment?
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  • - What is your current mortgage term? -
  • 30 year fixed
  • 15 year fixed
  • 10 year ARM
  • 5 year ARM
  • 3 Year ARM
  • Other
- What is your current mortgage term? -
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Field is required!

CREDIT HISTORY

Gross MONTHLY Income
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Total Credit Card Debt
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  • - Estimate your Credit History * -
  • Excellent
  • Good
  • Fair
  • Difficulties
  • Below Average
  • Horrible
- Estimate your Credit History * -
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Field is required!
When would you like to complete your loan? - (mm/dd/yyyy)
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Upload File
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EMPLOYMENT HISTORY

Name
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Business Address
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From
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To
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Monthly Income
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Position / Title / Type of Business
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Business Phone # (Incl. area code)
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Field is required!
[email protected]
818-639-3196
NMLS# 1688523
DRE # 01342072
32107 Lindero STE 121
Westlake Village, CA 91316

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