Providing Affordable Mortgages to Oregon Residents
for More than 15 Years

Your Phone Number

Phone Number

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Your First Name

First Name

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Estimated Home Value

Estimated Home Value50,000 – 60,00060,001 – 70,00070,001 – 80,00080,001 – 90,00090,001 – 100,000100,001 – 110,000110,001 – 120,000120,001 – 130,000130,001 – 140,000140,001 – 150,000150,001 – 160,000160,001 – 170,000170,001 – 180,000180,001 – 190,000190,001 – 200,000200,001 – 210,000210,001 – 220,000220,001 – 230,000230,001 – 240,000240,001 – 250,000250,001 – 260,000260,001 – 270,000270,001 – 280,000280,001 – 290,000290,001 – 300,000300,001 – 310,000310,001 – 320,000320,001 – 330,000330,001 – 340,000340,001 – 350,000350,001 – 360,000360,001 – 370,000370,001 – 380,000380,001 – 390,000390,001 – 400,000400,001 – 450,000450,001 – 500,000500,001 – 550,000550,001 – 600,000600,001 – 650,000650,001 – 700,000700,001 – 750,000750,001 – 800,000800,001 – 850,000850,001 – 900,000900,001 – 950,000950,001 – 1,000,0001,000,001 – 1,200,0001,200,001 – 1,400,0001,400,001 – 1,600,0001,600,001 – 1,800,0001,800,001 – 2,000,0002,000,001 – 3,000,0003,000,001 – 4,000,0004,000,001 – 5,000,0005,000,001 – 6,000,0006,000,001 – 7,000,0007,000,001+

1st Mortgage Balance

1st Mortgage Interest Rate

Do you have a 2nd mortgage?YesNo

How much additional cash do you wish to borrow?

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Any bankruptcy in the past 3 years?

Yes

No

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Any foreclosure in the past 3 years?

Yes

No

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Your Credit Profile

Excellent 720+

Good 660-719

Avg. 620-659

Below Avg. 580-619

Poor ≤ 579

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Estimated Down Payment

Enter your amount

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Purchase price of the new home

Enter your amount

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Are you currently working with a real estate agent?

Yes

No

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Active or previous U.S. military service?

Yes

No

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Are you a first-time home buyer?

Yes

No

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When Do You Plan to Purchase Your Home

Immediately: Signed a Purchase Agreement

ASAP: Found a House/Offer Pending

Within 30 Days

2 - 3 Months

3 - 6 Months

6+ Months

No Time Frame; I am Researching Options

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Type of Loan

Please choose one of the following options

Home Refinance

Home Purchase

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Home Description

Single Family

Multi-Family

Condominium

Townhouse

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Property Use

Primary Residence

Secondary Home

Investment Property

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Do you currently have an FHA loan?

Yes

No

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Are you or your spouse currently in a VA loan?

Yes

No

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Your Email Address

The final estimated price is :

Your Email Address

Summary

Description	Information	Quantity	Price
Discount :
Total :

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