p5pRT
commented
22 years ago From helpingfamilies@lycos.com
Refinance While
Rates Last!!
6.25%
Fixed
Bad Credit Ok
Debt Consolidation/ Home
Improvement
Lower your monthly
payments
Loan Application (Fields Marked with * are
required)
Prefix:
Mr. Mrs. Mr. and Mrs. Miss. Dr.
Name:
*
Middle Name:
Last Name: *
Address *
City: *
State Alabama Alaska Alberta American Samoa Arizona Arkansas Armed
Forces Americas Armed Forces Europe Armed Forces Pacific British
Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New
Hampshire New Jersey New
Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince
Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon
Territory *
Zip Code: *
Home Phone:
Day Phone: *
Fax:
E-Mail: *
Length At Present Address: * Years Months
Amount Owed on 1st / % Rate: *
/ % *
Amount Owed on 2nd / % Rate: / %
Loan Type 1St / Loan Type 2nd: Fixed Adjustable * / Fixed Adjustable
Home Value: *
Yearly Income: *
Length of Current
Employment: * Years * Months
Are You Self Employed? No Yes
Credit Rating: Good (some
lates) Excellent (no
lates) Fair
(collection) Poor
(bankruptcy)
Amount Requested: *
What is the purpose of the loan?
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operated member of The Prudential Real Estate Affiliates\,
Inc
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