State where property is located:  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Mississippi Missouri Montana Nebraska Nevada New Hampshire New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Type of Property:  Single Family Home Townhome Duplex 3 Unit 4 Unit Condo: 1-4 Stories Condo: 5+ Stories

Property Usage:  Home Rental Vacation

Property Value:  $

Present Loan Balance:  $

Present Monthly Payment:  $

Current Interest Rate:  %

Current Loan Type:  1 Month ARM 6 Month ARM 1 Year ARM 3/1 ARM 5/1 ARM 7/1 ARM 10/1 ARM 30 Year Fixed 20 Year Fixed 15 Year Fixed

Mortgage Closing Date:  January February March April May June July August September October November December 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Does this mortgage have a prepayment penalty?
Yes     No

How many years do you plan to own new property?
     < 1 1 - 5 6 - 10 10 +

Annual Gross Income:  $

Other Source of Income:  $

Current Monthly Expenses:  $ 

Have you been steadily employed for more than 2 years?   Yes    No  

Can you provide proof of income?  Yes     No