Mortgage Analysis

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Applicant:
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Co-Applicant
Address:

City:

State: Zip:
     
Phone Number:
(Include Area Code)
*Home:
*Work:
*Fax:
     
*E-Mail:

*To receive a response, please fill out at least one of
these fields (phone, fax, or e-mail).

Are you currently working with a realtor or builder?
If so, provide their name.		 Yes No
Are you currently working with a CMG loan officer?
If so, provide their name. 		Yes No
How did you learn about CMG?
.
  I/We Authorize CMG to Pull a Credit Report

Do You Want to:  

Purchase a Home?

Do Home Improvement?

Get Rid of Balloon Payment?

Consolidate Bills/Loans?

Get Pre-Qualified?

Go to a Fixed Rate Mortgage?

Get Cash Out?

Reduce Your Interest Rate?

    
Length of Time in Your Profession?
    
Gross Income per Year
    
The Details:  
Do you own your home? Yes No
    
Name of Realtor, Builder or Loan Officer.
   
Current First Mortgage Balance: $
      
Current Interest Rate %
      
Current Monthly Payment: $
      
Includes Taxes/Insurance?: Yes No
    
I already have a second mortgage or equity loan and want to borrow more money or refinance a current debt.: Yes No
      
Current Second Mortgage Balance: $
      
Current Interest Rate: %
      
Current Monthly Payment: $
    
Includes Taxes/Insurance?: Yes No
      
Total Monthly Payments on Credit Card/Installment Loans: $
    
Additional Comments:
   


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Hours: Monday - Friday 9:00 am - 5:00 pm

Carolina Mortgage Group, Inc.
1401 North Arendell Avenue • Zebulon, NC 27597
(919) 269-3862 • Fax:  (919) 269-4962

E-mail:  Contact CMG


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