Abby Form First Name:* Last Name:* Can I get your Cell Phone number in case we get disconnected?:*Loan Purpose?*Home PurchaseHome RefinanceCaller DisconnectedHome Description?*Single FamilyTown HouseCondominiumCondo HotelMulti-FamilyCaller DisconnectedProperty Use?*Primary ResidenceVacation/Second HomeInvestment PropertyLoan Program?*Not SureJumboFHAVAConventionalRehab/RemodelUSDACaller DisconnectedWhen Do You Expect To Buy?*I have contract on a propertyI have a home picked outBuying within 30 daysBuying in 1-3 monthsBuying in 3-6 monthsBuying in 6-12 monthsCaller DisconnectedEstimates Purchase Price?*$59,999 or less$60,000 - $99,000$100,000 - $150,000$150,000 - $200,000$200,000 - $250,000$250,000 - $300,000$300,000 - $400,000$400,000 - $500,000$500,000 - $600,000$600,000 - $750,000$750,000 - $1,000,000$1,000,000 - $2,000,000$2,000,000 - $3,000,000Above $3,000,000Caller DisconnectedDesired Down Payment?*As Little as Possible5%10%20%25% & UPCaller DisconnectedHow Did You Hear About Us?*GoogleBingFacebookReferralOtherCaller DisconnectedReferral Persons Name?* Have You Spoken With or Were You Referred to One of Our Loan Officers?*Not spoken with anyoneEddie HoskinsTim CanneyCollin AtchisonDarren LynchRyan MeyerDavid CondeJoe GalluzzoCaller DisconnectedYour Credit Profile?*Excellent (721 and above)Very Good (680 - 720)Good (660 - 719)Average (620 - 659)Below Average (580 - 619)Poor (579 and below)Caller DisconnectedEstimated Current Property Value:*$59,999 or less$60,000 - $75,000$100,000 - $125,000$125,000 - $150,000$150,000 - $200,000$200,000 - $250,000$250,000 - $300,000$300,000 - $400,000$400,000 - $500,000$500,000 - $600,000$600,000 - $750,000$750,000 - $1,000,000$1,000,000 - $2,000,000$2,000,000 - $3,000,000$3,000,000 - $4,000,000Above $4,000,000First Mortgage Balance:Hidden1 St Mortgage Rate? Website LeadDo You Have a Second Mortgage?*NoYesSecond Mortgage Amount:Email:* Select Loan Officer Call Transferred Too*Select Loan OfficerEddie HoskinsTim CanneyRyan MeyerDarren LynchCollin AtchisonDavid CondeJoe GalluzzoCaller DisconnectedPlease enter any comments