Welcome to Clear2Close, we will assist you with your Mortgage needs...

You can email this form to us or print it out and fax or mail it to our location listed below.

Please answer the following questions as completely as possible. Remember, we have hundreds of different products for all types of borrowers and borrowing. If you do not know any of the responses, please leave them blank. This form is only a preliminary form to help our staff better serve you. We will fill out a full application with you personally or via phone or fax after this initial form has been completed.

Simply fill out the form, and over the next 72 hours you will receive from us ABSOLUTELY FREE, an opinion for your consideration of your Mortgage needs and options ......



Please Read the PRIVACY POLICY
Date:
Name: 
Occupation: Are You:
Address:
City:
State:
Zip:
Home Phone
Work Phone
Email:

Your spouse's or potential co-borrower's Name: (If none - leave blank)

HomePhone: WorkPhone:

Your spouse's or potential co-borrower's address:

Spouse Employment:

What is the purpose of your potential loan?:

What is the address of your subject property? If it is the same as your mailing address, leave blank.

What type of property is the subject property? :

Is your subject property a new purchase, what is the purchase price of the property?

What loan amount do you desire to borrow?

What do you feel is the fair market value or what you would sell the subject property for? (please fill in)

If your subject property is for refinancing or for an equity loan, what is the balance and interest rate of the
current FIRST mortgage? If "0", enter "0" or leave blank if you are applying for a purchase.

If your subject property is for refinancing or for an equity loan, what is the balance and interest rate of the
SECOND mortgage? If "0", enter "0" or leave blank if you are applying for a purchase.

Please rate your credit rating from A to D:

What is your preferred time limit to close?

Requests & Comments:

Do you currently have any Mortgage Applications submitted?:     Yes No


I understand this On-Line Pre-Application is for a Mortgage Inquiry ONLY. It is not an application for Mortgage.