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Name
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Last
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(Required)
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(Required)
Primary Residence
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Investment
How Is Your Credit?
(Required)
740+
700-739
680-699
640-679
639-
Military Service?
(Required)
Yes
No
Loan Purpose
(Required)
Lower Interest Rate
Lower Monthly Payment
Debt Consolidation
Change Rate / Term
Home Improvement
Take Cash Out
Estimated Property Value
1st Mortgage Balance
1st Mortgage Interest Rate
Do you have a 2nd mortgage?
(Required)
Yes
No
Additional Cash Out
Any late mortgage payments?
(Required)
Yes
No
Any foreclosure?
(Required)
Yes
No
Do you currently have an FHA loan?
(Required)
Yes
No
Bankruptcy in the last 7 years?
(Required)
Yes
No
Annual household income
(Required)
Employment status
(Required)
Employed
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Month debt payments
(Required)
Property Zip
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Merchants Home
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Merchants Realty & Loan Corp
dba Merchants Home Lending
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NMLS ID: 283279
CA DRE: 01878918
CA CFL: 60DBO-161059
FL: MLD2336
info@merchantslending.com
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www.nmlsconsumeraccess.org
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