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Use Our FREE "EZ Rates" Shopping Service!

"We Find The Best Rates For You"

This is a 100% free service which enables you to shop for a mortgage conveniently from the comfort of your own home. We use our nationwide databaseto give you access to 100's of lenders with 1000's of loan programs that will work for Excellent, Good, Fair or even Poor Credit!

Once we find the lowest rate for your loan, a representative will contact you, usually within 48 hrs., to deliver your new quote, and discuss the funding of your loan. It's thateasy! If you're lookingfor afast, simple, and hassel-free way to find your new mortgage,then let"EZ Rates" do the workfor you!

Please complete this brief information request form (below). It only takes a few minutes, and there is absolutely no obligation! All information is kept strictly confidential! Please complete as much information as possible. Thank you!

Do you currently own a home? Yes No

Primary Applicant First Name:
Primary Applicant Last Name:
Co-Applicant Full Name:
Street Address:
City:
State: (Sorry, AK or HI Residents not applicable)
Zip Code:
Home Phone: ex. 555-555-1234 - -
Work Phone: ex. 555-555-1234 - -
Work Phone Extension:

Property Type:
Original Purchase Price:
Year Acquired: ex. 1971
Estimate Property Value:

Amount Owed on 1st Mortgage: approx.
Current APR on 1st Mortgage: approx.
Fixed or Adjustable:
Monthly Payment on 1st Mortgage:

Amount Owed on 2nd Mortgage: approx.
Current APR on 2nd Mortgage: approx.
Fixed or Adjustable:
Monthly Payment on 2nd Mortgage:

How long ago since you last re-financed?

Current Employer:
Years with Current Employer:
Gross Yearly Income:
How is your Credit? ?

Best Time To Contact You:
Type of Loan Desired:
Desired Loan Amount: Must be over $20,000
Current Email Address:
Receive future offers from us? Yes No



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