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Intake form
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Name
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Email address
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What type of loan are you interested in?
Please select at least one option.
Home Loan
Refinancing
Investment Property Financing
What is your current employment status?
Select
Employed
Self-Employed
Unemployed
Student
Retired
What is your estimated annual income?
What is your current credit score range?
Select
Below 500
500-599
600-699
700-799
800 and above
What is the purpose of the loan?
Select
Purchasing a new home
Refinancing an existing loan
Investing in property
Consolidating debt
What is your preferred loan amount?
Do you have a property in mind?
What is your preferred loan term?
Select
1 Year
3 Years
5 Years
10 Years
15 Years
30 Years
Do you have a co-borrower?
Select
Yes
No
If yes, please provide the co-borrower's name and relationship.
Which service or services are you interested in?
Please select at least one option.
Home loans
Refinancing
Investment property financing
Additional questions or comments
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