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Copy the form below into a Word Document, print and fill it out and fax or send to me by email attachment or post |
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Copy the form below into a Word Document, print and fill it out and fax or send to me by email attachment or post |
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How long will it be until you are mortgage free? Well do a FREE Analysis! We can show you how much time and interest you can save. Its typical to cut the pay-off time by more than half and save you thousands of dollars! We need the following information: Name: _______________________________________________________________________ Date: ___________________ Address: ________________________________________ e-mail: ______________________________________________ City: ______________________________________________________ State: ____________ Zip: ____________________ Home Phone: ______________________________________ Cell Phone: _______________________________________ Approximate Home Value: ______________________________ as determined by: ____________________________ Mortgage Balance: ____________________________ Interest Rate: ______ Date of 1st Payment: _______________ Original Cost of Home ________________________________________________________________________ Original Term: _____________________ (in months) Remaining Term: ______________________ (in months) Mortgage Type [Fixed Variable] Mortgage Program: [Conventional FHA VA Subprime] Total Monthly Payment: _______________________ Amount for Escrow in each payment: ___________________ Do you have a 2nd mortgage or line of credit? _______ If yes, what is the balance? _________________________ Other Creditors: _______________________________________________ Estimated Credit Rating: [A B C D] Estimated total of all other debts: _____________ Total monthly payments for all other debts: ______________ Income Type: [W2 commission bonus overtime] Frequency [Weekly bi-weekly monthly] Gross Income: ____________________________ Net Income: _______________________________________ Discretionary Income (After all bills and expenses are paid how much money do you usually have left over each month?) ____________________________ Best days and times to follow up with you: ____________________________________________________ ******************************************* Note that we do not need your Social Security # or any other identity information for this analysis. We only ask for the data needed to determine how much this program would benefit you.
Please FAX
this to Allen Heart at 928-833-3207 or send it to me at 211 Aries Lane,
Cave Junction OR 97523. If you have any questions, please call
541-592-6652 10-7pm PACIFIC Time most days or leave a voice message and I
will return your call.
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