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*Single & Multi-Family Homes
*HUD/FHA Approved Lender
*Mobile Homes With Land
*Refinance to 97.5% of Value
*Cash Out to 85% of Value
*Slow Credit
*Former Bankruptcy
*No Upfront Fees

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Professionals That Can Handle Just About Any Situation

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Borrower *required fields
Name*
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*Date of Birth (mm-dd-yyyy)**
E-mail Address*
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How did you hear about EquiSource?

Spouse/Co-Borrower
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*Date of Birth (mm-dd-yyyy)**
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Cell Phone
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Address
Street

City/State/Zip
Phone
Cell Phone
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Home Information
Home Type
Bedrooms/Baths
Size (sg.ft.)
Purchase Price
Current Value
Monthly Payment
Balance on Home
Current Interest Rate
Years Left to Pay
Mortgage Holder
Other Liens

Employer Information
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City/State
Phone
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Job Title
Gross Monthly Pay

Spouse/Co-Borrower Employer Information
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City/State
Phone
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Job Title
Gross Monthly Pay

Other Income and Credit Information
Additional Income?	Yes No
Gross Monthly Amount
Source of Income
How is Your Credit?
Total of Other Debts
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Purpose of this Loan
Amount Requested
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