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Rapid Rates Home Loan & Refinance Form

  
   

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Simply fill out this easy application. When you finish filling out this form push the send button.

*All information is transmitted securely and kept confidential.*
Please fill out the entire application.
Name:
PROPERTY ADDRESS (Please fill in the address of the property)
Street Address:
City:
State:
Zip Code:
Home phone w/ area code:
Work Phone:
E-mail Address:
Social Security Number:
Gross Monthly Income:
My credit history is:

Co-borrower (Skip this section if you do not have a co-borrower)
IF THERE IS ANYONE ELSE ON TITLE THEIR INFORMATION MUST BE INCLUDED

Name:
Work Phone:
Social Security Number:
Gross Monthly Income:
My credit history is:

Property/Loan Information

Estimated Current Value of Home:
Mortgage Balance (Total 1st & 2nd Mortgages):
How Long Have you Owned Your Home? yrs. mos.

Loan Request

Amount Requested: ($20,000 Minimum)
Purpose of Loan:
(Refinance, 2nd Mortgage, Debt Consolidate, Home Improvement, Liens, Etc...)

How did you find our web site?
Yes I authorize Rapid Rates to check my credit.

  *All information is transmitted securely and kept confidential.*

The information provided will be treated in the strictest of confidence and used to make recommendations in relation to your financial goals.

It is important that the "Client Profile" (including any other information) is an accurate account of your circumstances and noted that any withheld information could affect the advice given.
Rapid Rates
info@rapidrates.com
59 Dean Street, Hicksville, New York, 11801
Toll Free 888-31-RATES  Fax:  801-515-7597

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