Please fill out the form below and someone from homesandloanscolorado.com will contact within 24 hrs to discuss your options.

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BORROWER INFORMATION
First Name:
Last Name:
Property Address:
City:
State:	Colorado Arizona New Mexico Utah Wyoming Select One
Zip Code:
E-mail Address:
Home Phone:
Work Phone:
Cell Phone:
Best Time & Place to Contact You:
The Purpose of this loan is:	Select One Purchase Property WITH DOWN PAYMENT Purchase Property NO DOWN Refinance 1st Mortgage Refinance 1st and 2nd Mortgage Refinance with Cash Out Refinance with New 2ND Mortgge
COBORROWER INFORMATION
Applying with a spouse or a co-borrower? -- If yes please provide the following information.
First Name:
Last Name:

Mortgage Information:
What is your desired loan type/term?		Select Term 30 Year Fixed 20 Yr 15 Yr 10 Yr 5/1 Interest Only ARM 5/1 ARM (amortizing) 3/1 Interest Only ARM 3/1 ARM (amortizing) OPTION ARM Other
Have you declared bankruptcy in the last seven years?		Select One Never Less than 12 months ago 1-2 years ago 2-3 years ago 3-7 years ago More than 7 years
What best describes your credit?		Select One Excellent Good Fair Some Problems Major Problems
Do you pay your monthly payments on time?		Select One Early On Time 1-3 Months Late 4-6 Months Late Over 6 Months
What is your gross monthly income? (before taxes) You do not need to include information about alimony, child support, or separate maintenance income unless you want it to be considered.		.00
How much are your current monthly payments? Include all monthly obligations for you and your co-borrower such as credit cards, car loan, or child support (excluding housing).		.00
If you are PURCHASING a property:
1. Is property under contract or is an offer outstanding?		Select One Yes No
2.	What is Anticipated or Requested Purchase Price?	.00
3.	What is Anticipated or Requested Down Payment?	.00
4.	Will you occupy the Property?	Select One Yes No
If you are REFINANCING a property:
a.	What is estimated Property Value?	.00
b.	What is approximate amount of 1st Mortgage?	.00
c.	What is approximate amount of 2nd Mortgage?	.00
d.	How much additional cash would you like?	.00
e.	Are you occupying the property?	Select One Yes No
How did you find us?		Select One Newspaper Search Engine Referred by Friend Previous Customer Realtor Referral Other