www.homemortgageadvocate.com Open in urlscan Pro
18.188.52.203  Public Scan

Submitted URL: https://u26923583.ct.sendgrid.net/ls/click?upn=pOMGGpSuKKycui9dsBHkVmPCRG28leOcNTM3p4WUocnnqENq8Hv8YH-2Fmf7GW3yFuC840r6JV4Hlx-2BMk...
Effective URL: https://www.homemortgageadvocate.com/?reqid=9080923&affid=3
Submission: On August 02 via manual from BE — Scanned from DE

Form analysis 1 forms found in the DOM

POST confirmation.php

<form id="hlform" method="post" action="confirmation.php">
  <input id="leadid_token" name="universal_leadid" type="hidden" value="202D19E8-31B7-99D0-3648-B139DFFEE57A">
  <input name="reqid" type="hidden" value="9080923">
  <input name="affid" type="hidden" value="3">
  <div class="container">
    <div class="row border-top">
      <div class="col-md-6">
        <h3><span>1.</span> Do you own a home or are you looking to buy?</h3>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <div class="form-check">
            <label class="form-check-label" for="home"> I own a home <input class="form-check-input" type="radio" name="type" id="home" value="Refinance" checked="">
              <span class="checkmark"></span>
            </label>
          </div>
          <div class="form-check">
            <label class="form-check-label" for="buy"> I'm looking to buy. <input class="form-check-input" type="radio" name="type" id="buy" value="Home Purchase">
              <span class="checkmark"></span>
            </label>
          </div>
          <script>
            function purchase_mode() {
              $('form .refinance').attr('disabled', 'true');
              $('form .refinance').hide();
              $('form .purchase').show();
              $('form .purchase').removeAttr('disabled');
            }

            function refinance_mode() {
              $('form .purchase').attr('disabled', 'true');
              $('form .purchase').hide();
              $('form .refinance').show();
              $('form .refinance').removeAttr('disabled');
            }
            $(function() {
              refinance_mode();
              $('#home').click(function() {
                refinance_mode();
              });
              $('#buy').click(function() {
                purchase_mode();
              });
            });
          </script>
        </div><!-- .form-group -->
      </div><!-- .col-md-6 -->
    </div><!-- .row -->
    <!--<div id="hidden-field">-->
    <div class="row border-top purchase " disabled="disabled" style="display: none;">
      <div class="col-md-6">
        <h3><span>2.</span> Any bankruptcies in the last 3 years?</h3>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <div class="form-check">
            <label class="form-check-label" for="bankrupt-yes"> Yes <input class="form-check-input" type="radio" name="bankruptcy" id="bankrupt-yes" value="Yes">
              <span class="checkmark"></span>
            </label>
          </div>
          <div class="form-check">
            <label class="form-check-label" for="bankrupt-no"> No <input class="form-check-input" type="radio" name="bankruptcy" id="bankrupt-no" value="No" checked="">
              <span class="checkmark"></span>
            </label>
          </div>
        </div><!-- .form-group -->
      </div><!-- .col-md-6 -->
    </div><!-- .row -->
    <div class="row border-top purchase" disabled="disabled" style="display: none;">
      <div class="col-md-6">
        <h3><span>3.</span> First time buyer?</h3>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <div class="form-check">
            <label class="form-check-label" for="first-timer-yes"> Yes <input class="form-check-input" type="radio" name="firsttimebuyer" id="first-timer-yes" value="Yes">
              <span class="checkmark"></span>
            </label>
          </div>
          <div class="form-check">
            <label class="form-check-label" for="first-timer-no"> No <input class="form-check-input" type="radio" name="firsttimebuyer" id="first-timer-no" value="No" checked="">
              <span class="checkmark"></span>
            </label>
          </div>
        </div><!-- .form-group -->
      </div><!-- .col-md-6 -->
    </div><!-- .row -->
    <div class="row border-top purchase" disabled="disabled" style="display: none;">
      <div class="col-md-6">
        <h3><span>4.</span> Are you working with a real estate agent?</h3>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <div class="form-check">
            <label class="form-check-label" for="estate-agent-yes"> Yes <input class="form-check-input" type="radio" name="realestateagent" id="estate-agent-yes" value="Yes">
              <span class="checkmark"></span>
            </label>
          </div>
          <div class="form-check">
            <label class="form-check-label" for="estate-agent-no"> No <input class="form-check-input" type="radio" name="realestateagent" id="estate-agent-no" value="No" checked="">
              <span class="checkmark"></span>
            </label>
          </div>
        </div><!-- .form-group -->
      </div><!-- .col-md-6 -->
    </div><!-- .row -->
    <!--</div>-->
    <div class="row border-top refinance">
      <div class="col-md-6">
        <h3><span>2.</span> Have you or your spouse served in the military?</h3>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <div class="form-check">
            <label class="form-check-label" for="spouse"> Yes, we’re a veteran household. <input class="form-check-input" type="radio" name="military" id="spouse" value="Yes" checked="">
              <span class="checkmark"></span>
            </label>
          </div>
          <div class="form-check">
            <label class="form-check-label" for="military"> No, we’re not a veteran household. <input class="form-check-input" type="radio" name="military" id="military" value="No">
              <span class="checkmark"></span>
            </label>
          </div>
        </div>
      </div><!-- .col-md-6 -->
    </div><!-- .row -->
    <div class="row border-top refinance">
      <div class="col-md-6">
        <h3><span>3.</span> Late payments in the past year?</h3>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <select class="form-control" id="payments" name="latepayments">
            <option selected="selected" value="Current">I'm not behind </option>
            <option value="One">1 Month Late</option>
            <option value="Two">2 Months Late</option>
            <option value="Two or more">2+ Months Late</option>
          </select>
        </div>
      </div><!-- .col-md-6 -->
    </div><!-- .row -->
    <div class="row border-top refinance">
      <div class="col-md-6">
        <h3><span>4.</span> Who is your current lender?</h3>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <select class="form-control refinance" id="lender" name="currentlender">
            <option value="">Please select an option</option>
            <option value="Wells Fargo">Wells Fargo</option>
            <option value="Bank of America">Bank of America</option>
            <option value="JP Morgan Chase">JP Morgan Chase</option>
            <option value="Citigroup">Citigroup</option>
            <option value="GMAC Ally Financial">GMAC/Ally Financial</option>
            <option value="Credit Union">Credit Union</option>
            <option value="HSBC/Beneficial">HSBC/Beneficial</option>
            <option value="Indy Mac">Indy Mac</option>
            <option value="OCWEN">OCWEN</option>
            <option value="PHH Mortgage">PHH Mortgage</option>
            <option value="Suntrust">Suntrust</option>
            <option value="Washington Mutual">Washington Mutual</option>
            <option value="Nationstar">Nationstar</option>
            <option value="Countrywide">Countrywide</option>
            <option value="Metlife">Metlife</option>
            <option value="Other">Other</option>
          </select>
        </div>
      </div><!-- .col-md-6 -->
    </div><!-- .row -->
    <div class="row border-top refinance">
      <div class="col-md-6">
        <h3><span>5.</span> How much is your estimated property value?</h3>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <div class="range">
            <input type="range" id="propertyvalue_slider" class="slider refinance" value="11.20" style="background: linear-gradient(to right, rgb(73, 203, 138) 0%, rgb(73, 203, 138) 11.2%, rgb(244, 244, 244) 11.2%, rgb(244, 244, 244) 100%);">
            <input type="hidden" id="propertyvalue" name="propertyvalue" class="indirect refinance" value="215000" style="display: inline-block;">
          </div>
          <ul class="range-labels">
            <li>$80,000</li>
            <li id="propertyvalue_value">$215,000</li>
            <li>$2,000,000</li>
          </ul>
        </div>
      </div><!-- .col-md-6 -->
    </div><!-- .row -->
    <div id="mortgage-balance" class="refinance">
      <div class="row border-top ">
        <div class="col-md-6">
          <h3><span>6.</span> What is your estimated mortgage balance?</h3>
        </div><!-- .col-md-6 -->
        <div class="col-md-6">
          <div class="form-group">
            <div class="range">
              <input type="range" id="mortgagebalance_slider" class="slider refinance" value="6" style="background: linear-gradient(to right, rgb(73, 203, 138) 0%, rgb(73, 203, 138) 6%, rgb(244, 244, 244) 6%, rgb(244, 244, 244) 100%);">
              <input type="hidden" id="mortgagebalance" name="mortgagebalance" value="180000" class="refinance indirect" style="display: inline-block;">
              <input type="hidden" id="ltv" name="ltv" value="0.84" class="refinance" style="display: inline-block;">
            </div>
            <ul class="range-labels">
              <li>$60,000</li>
              <li id="mortgagebalance_value">$180,000</li>
              <li>$2,000,000</li>
            </ul>
          </div>
        </div><!-- .col-md-6 -->
      </div><!-- .row -->
      <div id="reverse" style="display:none">
        <div class="row border-top">
          <div class="col-md-6">
            <h3><span>6.1</span> Are you 62 Years or older and interested in a Reverse Mortgage?</h3>
          </div><!-- .col-md-6 -->
          <div class="col-md-6">
            <div class="form-group">
              <div class="form-check">
                <label class="form-check-label" for="age_above_or_equal_62_yes"> Yes <input class="form-check-input refinance" type="radio" name="age_above_or_equal_62" id="age_above_or_equal_62_yes" value="Yes" checked="" disabled="disabled">
                  <span class="checkmark"></span>
                </label>
              </div>
              <div class="form-check">
                <label class="form-check-label" for="age_above_or_equal_62_no"> No <input class="form-check-input refinance" type="radio" name="age_above_or_equal_62" id="age_above_or_equal_62_no" value="No" disabled="disabled">
                  <span class="checkmark"></span>
                </label>
              </div>
            </div>
            <script>
              $(function() {
                $('#age_above_or_equal_62_yes').click(function() {
                  if ($(this).is(':checked')) $('#age_block').show();
                });
              });
              $(function() {
                $('#age_above_or_equal_62_no').click(function() {
                  if ($(this).is(':checked')) $('#age_block').hide();
                });
              });
            </script>
          </div><!-- .col-md-6 -->
        </div>
        <div id="age_block" class="row border-top" style="display:none">
          <div class="col-md-6">
            <h3><span>6.2</span> Are you 62 Years or older and interested in a Reverse Mortgage?</h3>
          </div><!-- .col-md-6 -->
          <div class="col-md-6">
            <div class="form-group">
              <select class="form-control" id="age" name="age" disabled="disabled">
                <option value="" selected="selected">AGE</option>
                <option value="62">62</option>
                <option value="63">63</option>
                <option value="64">64</option>
                <option value="65">65</option>
                <option value="66">66</option>
                <option value="67">67</option>
                <option value="68">68</option>
                <option value="69">69</option>
                <option value="70">70</option>
                <option value="71">71</option>
                <option value="72">72</option>
                <option value="73">73</option>
                <option value="74">74</option>
                <option value="75">75</option>
                <option value="76">76</option>
                <option value="77">77</option>
                <option value="78">78</option>
                <option value="79">79</option>
                <option value="80">80</option>
                <option value="81">81</option>
                <option value="82">82</option>
                <option value="83">83</option>
                <option value="84">84</option>
                <option value="85">85</option>
                <option value="86">86</option>
                <option value="87">87</option>
                <option value="88">88</option>
                <option value="89">89</option>
                <option value="90">90</option>
                <option value="91">91</option>
                <option value="92">92</option>
                <option value="93">93</option>
                <option value="94">94</option>
                <option value="95">95</option>
                <option value="96">96</option>
                <option value="97">97</option>
                <option value="98">98</option>
                <option value="99">99</option>
                <option value="99 +">99 +</option>
              </select>
            </div>
          </div><!-- .col-md-6 -->
        </div><!-- #age_block -->
      </div><!-- #reverse -->
    </div><!-- #mortgage-balance -->
    <script>
      function check_reverse() {
        var mortgagebalance = $('#mortgagebalance').val();
        var propertyvalue = $('#propertyvalue').val();
        var ltv = mortgagebalance / propertyvalue;
        $('#ltv').val(ltv.toFixed(2));
        if (ltv < .60) {
          $('input[name="age_above_or_equal_62"]').removeAttr('disabled');
          $('#age').removeAttr('disabled');
          $('#reverse').show();
          if ($('#age_above_or_equal_62_yes').is(':checked')) {
            $('#age_block').show();
          } else {
            $('#age_block').hide();
          }
        } else {
          $('input[name="age_above_or_equal_62"]').attr('disabled', 'true');
          $('#age').attr('disabled', 'true');
          $('#reverse').hide();
        }
      }
      $(function() {
        check_reverse();
        $('#mortgagebalance').change(function() {
          check_reverse();
        });
        $('#propertyvalue').change(function() {
          check_reverse();
        });
      });
    </script>
    <div id="purchaseprice_block" class="purchase" disabled="disabled" style="display: none;">
      <div class="row border-top">
        <div class="col-md-6">
          <h3><span>5.</span> What is your estimated purchase price?</h3>
        </div><!-- .col-md-6 -->
        <div class="col-md-6">
          <div class="form-group">
            <div class="range">
              <input type="range" id="purchaseprice_slider" class="slider purchase" value="10.205" disabled="disabled"
                style="background: linear-gradient(to right, rgb(73, 203, 138) 0%, rgb(73, 203, 138) 10.205%, rgb(244, 244, 244) 10.205%, rgb(244, 244, 244) 100%); display: none;">
              <input type="hidden" id="purchaseprice" name="purchaseprice" value="205000" class="purchase indirect" disabled="disabled" style="display: none;">
            </div>
            <ul class="range-labels">
              <li>$60,000</li>
              <li id="purchaseprice_value">$205,000</li>
              <li>$2,000,000</li>
            </ul>
          </div>
        </div><!-- .col-md-6 -->
      </div><!-- .row -->
    </div><!-- #estimated-down-payment -->
    <div id="estimated-down-payment" class="purchase" disabled="disabled" style="display: none;">
      <div class="row border-top">
        <div class="col-md-6">
          <h3><span>6.</span> What is your estimated down payment?</h3>
        </div><!-- .col-md-6 -->
        <div class="col-md-6">
          <div class="form-group">
            <div class="range">
              <input type="range" id="downpayment_slider" class="slider purchase" value="2" disabled="disabled"
                style="background: linear-gradient(to right, rgb(73, 203, 138) 0%, rgb(73, 203, 138) 2%, rgb(244, 244, 244) 2%, rgb(244, 244, 244) 100%); display: none;">
              <input type="hidden" id="downpayment" name="downpayment" value="10250" class="purchase indirect" disabled="disabled" style="display: none;">
            </div>
            <ul class="range-labels">
              <li id="downpayment_min_value">$6150 (3%)</li>
              <li id="downpayment_value">$10250 (5%)</li>
              <li id="downpayment_max_value">$194750 (95%)</li>
            </ul>
          </div>
        </div><!-- .col-md-6 -->
      </div><!-- .row -->
    </div><!-- #estimated-down-payment -->
    <div id="interest-rate" class="refinance">
      <div class="row border-top">
        <div class="col-md-6">
          <h3><span>7.</span> What is your interest rate?</h3>
        </div><!-- .col-md-6 -->
        <div class="col-md-6">
          <div class="form-group">
            <div class="range">
              <input type="range" id="interestrate_slider" class="slider refinance" value="28" style="background: linear-gradient(to right, rgb(73, 203, 138) 0%, rgb(73, 203, 138) 28%, rgb(244, 244, 244) 28%, rgb(244, 244, 244) 100%);">
              <input id="interestrate" type="hidden" name="interestrate" value="" class="refinance indirect" style="display: inline-block;">
            </div>
            <ul class="range-labels">
              <li>1.5%</li>
              <li id="interestrate_value">5.250%</li>
              <li>11% or more</li>
            </ul>
          </div>
        </div><!-- .col-md-6 -->
      </div><!-- .row -->
    </div><!-- #interest-rate -->
    <div id="tax-income" class="purchase" disabled="disabled" style="display: none;">
      <div class="row border-top">
        <div class="col-md-6">
          <h3><span>7.</span> What is your annual pre-tax income? Estimations are fine.</h3>
        </div><!-- .col-md-6 -->
        <div class="col-md-6">
          <div class="form-group">
            <div class="range">
              <input type="range" id="annualincome_slider" class="slider purchase" value="0" disabled="disabled"
                style="background: linear-gradient(to right, rgb(73, 203, 138) 0%, rgb(73, 203, 138) 0%, rgb(244, 244, 244) 0%, rgb(244, 244, 244) 100%); display: none;">
              <input type="hidden" id="annualincome" name="annualincome" value="0" class="purchase indirect" disabled="disabled" style="display: none;">
            </div>
            <ul class="range-labels">
              <li>$0</li>
              <li id="annualincome_value">0</li>
              <li>$200000 or more</li>
            </ul>
          </div>
        </div><!-- .col-md-6 -->
      </div><!-- .row -->
    </div><!-- #interest-rate -->
    <div class="row border-top refinance purchase" style="display: flex;">
      <div class="col-md-6">
        <h3><span>8.</span> What is your credit rating?</h3>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <select class="form-control" id="creditrating" name="creditrating">
            <option value="Excellent">Excellent</option>
            <option selected="selected" value="Good">Good</option>
            <option value="Good">Fair/Good</option>
            <option value="Fair">Fair</option>
            <option value="Poor">Poor</option>
          </select>
        </div>
      </div><!-- .col-md-6 -->
    </div><!-- .row -->
    <div class="row border-top refinance purchase" style="display: flex;">
      <div class="col-md-6">
        <h3><span>9.</span> What type of home are you looking for?</h3>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <select class="form-control" id="propertytype" name="propertytype">
            <option selected="selected" value="Single Family Home">Single Family</option>
            <option value="Multi-Family">Multi Family</option>
            <option value="Condominium/Townhome">Condo</option>
            <option value="Mobile/Manufactured">Mobile/Manufactured</option>
          </select>
        </div>
      </div><!-- .col-md-6 -->
    </div><!-- .row -->
    <div class="row border-top purchase" disabled="disabled" style="display: none;">
      <div class="col-md-6">
        <h3><span>10.</span> What is your intended property use?</h3>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <select class="form-control purchase" id="propertyuse" name="propertyuse" disabled="disabled" style="display: none;">
            <option value="Primary Residence" selected="selected">Primary Residence</option>
            <option value="Second Home/Vacation Property">Second Home/Vacation Property </option>
            <option value="Investment Property">Investment Property</option>
          </select>
        </div>
      </div><!-- .col-md-6 -->
    </div><!-- .row -->
    <div class="row border-top purchase" disabled="disabled" style="display: none;">
      <div class="col-md-6">
        <h3><span>11.</span> What is your purchase status?</h3>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <select class="form-control purchase" id="homepurchasestatus" name="homepurchasestatus" disabled="disabled" style="display: none;">
            <option value="">Select a Purchase Status</option>
            <option value="Signed a Purchase Agreement">Signed a Purchase Agreement</option>
            <option value="Found House/Offer Pending">Found House/Offer Pending</option>
            <option value="Buying in 2-3 Months">Buying in 2-3 Months</option>
            <option value="Researching Options">Researching Options</option>
          </select>
        </div>
      </div><!-- .col-md-6 -->
    </div><!-- .row -->
    <div class="row border-top purchase" disabled="disabled" style="display: none;">
      <div class="col-md-6">
        <h3><span>12.</span> What is your desired rate type?</h3>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <select class="form-control purchase" id="ratetype" name="ratetype" disabled="disabled" style="display: none;">
            <option value="Fixed" selected="selected">Fixed</option>
            <option value="Adjustable">Adjustable</option>
            <option value="Unknown">Don't Know</option>
          </select>
        </div>
      </div><!-- .col-md-6 -->
    </div><!-- .row -->
    <div class="row border-top purchase" disabled="disabled" style="display: none;">
      <div class="col-md-6">
        <h3><span>13.</span> What is your current employment status?</h3>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <select class="form-control purchase" id="employmentstatus" name="employmentstatus" disabled="disabled" style="display: none;">
            <option value="Employed" selected="selected">Employed</option>
            <option value="Self Employed">Self Employed</option>
            <option value="Retired">Retired</option>
            <option value="Not Employed">Not Employed</option>
          </select>
        </div>
      </div><!-- .col-md-6 -->
    </div><!-- .row -->
    <div class="row border-top">
      <div class="col-md-6">
        <h3><span class="refinance">10.</span><span class="purchase" disabled="disabled" style="display: none;">14.</span> Where do you currently live?</h3>
        <div class="sub-title">
          <p> Property values vary per area. This helps calculate the most accurate offers. </p>
        </div>
      </div><!-- .col-md-6 -->
      <div class="col-md-6">
        <div class="form-group">
          <input class="form-control" type="text" name="address" placeholder="Address" value="">
        </div>
        <div class="form-group">
          <input class="form-control" type="text" id="zip" name="zipcode" placeholder="Zip Code" value="" irequired="">
        </div>
        <div class="form-group">
          <input class="form-control" type="text" id="city" name="city" placeholder="City" value="" required="">
        </div>
        <div class="form-group">
          <select class="form-control" id="state" name="state" required="">
            <option selected="true">State</option>
            <option value="AL">Alabama</option>
            <option value="AK">Alaska</option>
            <option value="AZ">Arizona</option>
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            <option value="CA">California</option>
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SEE IF YOU’RE ELIGIBLE

Take this short survey to know.


1. DO YOU OWN A HOME OR ARE YOU LOOKING TO BUY?

I own a home
I'm looking to buy.


2. ANY BANKRUPTCIES IN THE LAST 3 YEARS?

Yes
No


3. FIRST TIME BUYER?

Yes
No


4. ARE YOU WORKING WITH A REAL ESTATE AGENT?

Yes
No


2. HAVE YOU OR YOUR SPOUSE SERVED IN THE MILITARY?

Yes, we’re a veteran household.
No, we’re not a veteran household.


3. LATE PAYMENTS IN THE PAST YEAR?

I'm not behind 1 Month Late 2 Months Late 2+ Months Late


4. WHO IS YOUR CURRENT LENDER?

Please select an option Wells Fargo Bank of America JP Morgan Chase Citigroup
GMAC/Ally Financial Credit Union HSBC/Beneficial Indy Mac OCWEN PHH Mortgage
Suntrust Washington Mutual Nationstar Countrywide Metlife Other


5. HOW MUCH IS YOUR ESTIMATED PROPERTY VALUE?

 * $80,000
 * $215,000
 * $2,000,000


6. WHAT IS YOUR ESTIMATED MORTGAGE BALANCE?

 * $60,000
 * $180,000
 * $2,000,000


6.1 ARE YOU 62 YEARS OR OLDER AND INTERESTED IN A REVERSE MORTGAGE?

Yes
No


6.2 ARE YOU 62 YEARS OR OLDER AND INTERESTED IN A REVERSE MORTGAGE?

AGE 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86
87 88 89 90 91 92 93 94 95 96 97 98 99 99 +


5. WHAT IS YOUR ESTIMATED PURCHASE PRICE?

 * $60,000
 * $205,000
 * $2,000,000


6. WHAT IS YOUR ESTIMATED DOWN PAYMENT?

 * $6150 (3%)
 * $10250 (5%)
 * $194750 (95%)


7. WHAT IS YOUR INTEREST RATE?

 * 1.5%
 * 5.250%
 * 11% or more


7. WHAT IS YOUR ANNUAL PRE-TAX INCOME? ESTIMATIONS ARE FINE.

 * $0
 * 0
 * $200000 or more


8. WHAT IS YOUR CREDIT RATING?

Excellent Good Fair/Good Fair Poor


9. WHAT TYPE OF HOME ARE YOU LOOKING FOR?

Single Family Multi Family Condo Mobile/Manufactured


10. WHAT IS YOUR INTENDED PROPERTY USE?

Primary Residence Second Home/Vacation Property Investment Property


11. WHAT IS YOUR PURCHASE STATUS?

Select a Purchase Status Signed a Purchase Agreement Found House/Offer Pending
Buying in 2-3 Months Researching Options


12. WHAT IS YOUR DESIRED RATE TYPE?

Fixed Adjustable Don't Know


13. WHAT IS YOUR CURRENT EMPLOYMENT STATUS?

Employed Self Employed Retired Not Employed


10.14. WHERE DO YOU CURRENTLY LIVE?

Property values vary per area. This helps calculate the most accurate offers.

State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware
District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas
Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi
Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York
North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South
Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West
Virginia Wisconsin Wyoming


11.15. CONTACT INFORMATION


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at the bottom of this page
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your quoted rate may be higher, depending on your property location, credit
score, debt-to-income ratio, loan-to-value ratio, and other factors. Home
Mortgage Advocate does not guarantee that the rates or terms offered and made
available by participating Service Providers are the lowest rates available in
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offer the products that we advertise. Completing our forms does not obligate you
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inquired. Available rates and terms are subject to change daily without notice.

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