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FIND OUT IF YOU QUALIFY* 

1. FILL OUT THIS SHORT SECURE        INTAKE FORM AND SUBMIT**.

2. FIND OUT THE YEAR YOUR                MORTGAGE WILL BE PAID OFF.​​

​​​.3. FIND OUT THE EXACT DOLLARS      YOU WILL SAVE ON INTEREST.

** We would be happy to help you fill out this form. Just enter your Name and Phone Number below, and hit the Submit button, We will call you back to set up a covenient time for us to fill out the form together. 

SECURE INTAKE FORM *

PROPERTY OWNER INFORMATION

PROPERTY INFORMATIOIN VALUES

THIS PROPERTY WOULD CLASSIFY AS

Single choice
Primary Residence
Secondary Residence
Investent Property

INCOME & EXPENSES

ADDITIONAL DEBTS / LOANS

*Fill out as complete as possible. Include all your expenses - mortgage, car payment, credit cards, utilities, groceries, dining out, gas, child care, student loans, and more. You do not need to be exact, but please be as accurate as possible. Then submit the form. Answer back on qualification is usually in only in a few days.


For your security, data that you enter on this form is secure, encrypted, and protected during transmission and storage. This ensures confidentiality, and helps prevent unauthorized access.

DATE & TIME
Year
Month
Day
Time
HoursMinutes

Security Measures

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