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Regina Rickles
Mortgage Library
About Your Loan Program
Loan Program
Loan Purpose
30 Year Fixed
15 Year Fixed
5 Yr Balloon
7 Yr Balloon
1/1 ARM
3/1 ARM
5/1 ARM
VA 30 Yr
FHA 30 Yr
FHA ARM
Purchase
Refinance
Constr. Loan
See Comments/Other
FHA Loan
VA Loan
Loan Amount ($)
Property Value ($)
Estimated Timeframe
< 30 Days
30-60 Days
60-90 Days
Not Sure 120
Property Information
Property Type
-
Single family
Condo
Commercial
Investment
Co-op
Mobile Home
Multi Family
Address
Zip
Borrower Information
First Name
Last Name
Work Phone
Home Phone
Email
Employment Information
Self Employed
Years Employed
Annual Income($)
no
yes
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
< $20,000
$20,000-25,000
$25,000-30,000
$30,000-35,000
$35,000-40,000
$40,000-45,000
$45,000-50,000
$50,000-60,000
$60,000-70,000
$70,000-80,000
$80,000-90,000
$90,000-100,000
$100,000-125,000
$125,000-150,000
$150,000-175,000
$175,000-200,000
> 200,000
Income and Expense Information
Monthly Expenses($)
Credit History
Excellent
Good
Fair
Poor
Once you have completed this expression of interest or application your information will be sent to Primemax Mortgage. A representative from Primemax Mortgage may contact you by telephone or email. By submitting your expression of interest you are consenting to receive telephone calls or email from Primemax Mortgage.
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2800 W Meighan Blvd
Gadsden, AL 35904
(256) 543-9211
(256) 549-0200
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