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Purchase – Reliant Home Mortgage
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SELECT LOAN TYPE

Home Refinance
Home Purchase
Home Equity

SELECT PROPERTY TYPE

Single Family
Multi Family
Condominium
Townhouse
Manufactured Home

WHAT IS THE PROPERTY USE

Primary Residence
Vacation Home
Investment

HOW IS YOUR CREDIT?

Excellent
Very Good
Good
Fair
Poor

HAVE YOU ALREADY FOUND A HOME

ESTIMATED PURCHASE PRICE

DOWN PAYMENT

0% VA/USDA
3% Conv.
3.5% FHA
5%
10%
20%

MILITARY SERVICE?

Yes
No

YOU EXPECT TO BUY WITHIN?

30-45 Days
2-3 Months
6 Months
Longer

TELL US ABOUT YOURSELF

PROPERTY ZIP

CONTACT INFORMATION

Home RefinanceHome PurchaseHome Equity
Single FamilyMulti FamilyCondominiumTownhouseManufactured Home
Primary ResidenceVacation HomeInvestment
Excellent (740+)Very Good (700-739)Good (680-699)Fair (640-679)Poor (639-)
NoYes
Less than $70,000$70,001 - $80,000$80,001 - $90,000$90,001 - $100,000$100,001 - $110,000$110,001 - $120,000$120,001 - $130,000$130,001 - $140,000$140,001 - $150,000$150,001 - $160,000$160,001 - $170,000$170,001 - $180,000$180,001 - $190,000$190,001 - $200,000$200,001 - $210,000$210,001 - $220,000$220,001 - $230,000$230,001 - $240,000$240,001 - $250,000$250,001 - $275,000$275,001 - $300,000$300,001 - $325,000$325,001 - $350,000$350,001 - $375,000$375,001 - $400,000$400,001 - $425,000$425,001 - $450,000$450,001 - $475,000$475,001 - $500,000$525,001 - $550,000$550,001 - $575,000$575,001 - $600,000$600,001 - $625,000$625,001 - $650,000$650,001 - $675,000$675,001 - $700,000$700,001 - $725,000$725,001 - $750,000$750,001 - $775,000$775,001 - $800,000$800,001 - $825,000$825,001 - $850,000$850,001 - $875,000$875,001 - $900,000$900,001 - $925,000$925,001 - $950,000$950,001 - $975,000$975,001 - $1,000,000$1,000,001 - $1,100,000$1,100,001 - $1,200,000$1,200,001 - $1,300,000$1,300,001 - $1,400,000$1,400,001 - $1,500,000$1,500,000+
0% VA/USDA3% Conv.3.5% FHA5%10%20%
YesNo
30-45 Days2-3 Months6 MonthsLonger
Noyes
Noyes
$0 - $30,000$30,001 - $45,000$45,001 - $60,000$60,001 - $75,000$75,001 - $90,000$90,001 - $105,000$105,001 - $120,000$120,001 - $135,000$135,001 - $150,000+$150,001
EmployedSelf EmployedRetiredUnemployed
$0 - $500$501 - $1,000$1,001 - $1,500$1,501 - $2,000$2,000 - $3,000$3,000 - $5,000$5,000+
ASAPAfternoonEveningMorning





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