941-225-2613
[email protected]

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1. Loan Info
What is the purpose of this loan?*
- Purchase
- Refinance
Do you currently rent or own?*
- Rent
- Own
- Other
What is the reason for refinance?*
- Consolidation
- Lower Rate
- Cash-Out
- Other
Which best describes your situation?
- First time home buyer, just getting started
- Looking for a pre-qualification
- Found a home, offer pending
- Other

2. Property Info
Type of Property*
- Single Family Residence
- Condo
Property Use*
- Primary Residence
- Secondary Residence
- Investment
Estimated value of the property?*
Property State*
How much do you expect to have for a down payment?

3. Credit Info
Do you know your credit score?*
- Yes
- No
Please provide your score:*
Please enter a number less than or equal to 900.
Have you declared bankruptcy in the past two years?*
- Yes
- No
Type?*
Date of discharge*
MM slash DD slash YYYY
Have you had a foreclosure in the last 3 years?*
- Yes
- No
Date of resolution*
MM slash DD slash YYYY
Do you have any outstanding judgments or tax liens?*
- Yes
- No
Do you have a payment plan in place or has it been settled?*
- Yes
- No
Have you ever had revolving credit such as credit cards?*
- Yes
- No
Have you been delinquent on any credit card payments in last 12 months?*
- No
- Yes, but never more than 30 days
- Yes, but very rarely more than 30 days
- Yes, occasionally more than 30 days
Have you ever had any other loans such as car loan or student loan?*
- Yes
- No
Have you been delinquent on any loan payments in the last 12 months?*
- No
- Yes, but never more than 30 days
- Yes, but very rarely more than 30 days
- Yes, occasionally more than 30 days
Have you ever held a home loan?*
- Yes
- No
Have you been delinquent on any home loan payments in the last 12 months?*
- No
- Yes, but never more than 30 days
- Yes, but very rarely more than 30 days
- Yes, occasionally more than 30 days

4. About You
Approx. Monthly Income
Active or previous U.S. Military service (by you or your spouse)?
- Yes
- No
- Not Sure
First name*
Last Name*
Preferred Phone*
Email Address*
Street Address
Mailing address city
Mailing address state or locality*
Mailing address postal code*
Best time to contact
- Morning
- Afternoon
- Evening
- Anytime

7590 Fruitville Road, Suite 101
Sarasota FL 34240
Phone: 941-225-2613
Toll Free: 866-424-7438
[email protected]

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Copyright 2018 APR Mortgage LLC | NMLS # 390675

As Mortgage Service professionals entrusted with sensitive financial information, we respect the privacy of our clients and have established standards and procedures to safeguard your personal information. We are required by law to list the following licensing information NMLS # 390675. Please call or send us an email at [email protected] if you have any questions about this offer.