Loan Qualification Questionnaire

Do you qualify for a loan? Answer this short questionnaire and we will contact you to discuss your options!

Name(*)

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What is the purpose of your application?

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Describe your purpose

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What is your Gross Income (usually line 15000 of your tax return)?

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Current housing

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Amount of rent per month

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Address

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Value of home

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Mortgage total owing

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Mortgage payment (enter amount and frequency)

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Preferred method of contact

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Email(*)

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Phone number

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Enter these letters (as lowercase) please to prevent spam(*)(*)

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Wondering what you can afford? Check out the payment calculator from our lending insurance partner Sagen.