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Our valued clients are the purpose behind my success.  Our principles are achieved by being attentive, innovative, competent, honest, competitive, and fair.  Exceeding the expectations of our customers ensures our continued success.
 

Personal service is one of our top priorities.  Please fill out the following information and we will be in touch with you quickly to get your loan in process!

* Denotes required fields

What are you looking to do?

Purchase Refinance Cash-out Refinance
Tell me how to get in touch with you:
Your First Name *(Required Field)
Your Last Name *(Required Field)
Borrower's Email Address *(Required Field)
Reconfirm Email Address *(Required Field)
Borrower's Social Sec. #
Date of Birth
Home Phone Number *(Required Field)
Work Phone Number
Mobile/Cell Number
Mailing Address *(Required Field)
Mailing Address Line 2
City, State, Zip Code *(Required Field)
Who Referred you to me?
Best Time to Contact
Requested Loan Officer
Borrower's General Financing Information
Monthly Gross Salary (before taxes) $
Are you Self Employed?  
Do you receive at W2 or 1099 (Contract work)  
Have you filed taxes in the last 2 years  
Current rent or house payment for past 12 months:  
Down payment Available:  
Price range of home?  
Borrower - Check which of the following apply to you:
Bankruptcy in the last 24 months:
Foreclosure in the last 24 months:
Outstanding charge-offs:
Late payments in last 12 months:
Co-Borrower's Information
Co-Borrower's Name
Co-Borrower's Social Sec. #
Date of Birth
Email Address
Home Phone Number
Work Phone Number
Mobile/Cell Number
Mailing Address
Mailing Address Line 2
City, State, Zip Code
Co-Borrowers' General Financing Information
Monthly Gross Salary (before taxes) $
Are you Self Employed?
Do you receive at W2 or 1099 (Contract work)
Have you filed taxes in the last 2 years
Current rent or house payment for past 12 months:  
Down payment Available:  
Price range of home?  
Co-Borrower - Check which of the following apply to you:
Bankruptcy in the last 24 months:
Foreclosure in the last 24 months:
Outstanding charge-offs:
Late payments in last 12 months:
About your new home
City:
Have you found your new home?
Do you need help selling your existing home?
How soon do you want to move?
Other (please specify)
Please contact me as soon as possible regarding this matter.
  REQUIRED:  I/We certify by choosing "I AGREE" that the information in this application is true and correct as of the date set forth and further authorize Texas Mortgage Connection, LLC to order consumer credit report(s) and verify other credit information.

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Revised: 05/08/08.