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Thank you for your interest in refinancing.

Please complete this form in order for us to determine which program is most suitable for you, and if a refinance is worthwhile.

*Your Name
*Home Phone
*Mobile Number
*Work Number
*Email
*Property State	Alberta Alabama Alaska Arizona Arkansas British Columbia California Canal Zone Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Manitoba Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana New Brunswick Nebraska Newfoundland Nova Scotia Northwest Territories Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Ontario Oklahoma Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island South Carolina South Dakota Saskatchewan Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon APO-Armed Forces FPO-Armed Forces AE-Armed Forces AP-Armed Forces AA-Armed Forces
*Property Zip-code
*Original Loan Balance
*Current Loan Balance
*Date of Loan
*Interest Rate
*What type of Rate do you have?	Fixed ARM Other
*Estimated Appraised Value
*What type of property is this?	Single Family Two Units Three Units Four Units Coop Condo Other
*What is the occupancy of this home?	My Primary Residence My Secondary Home My Investment Property
*Hows your Credit?	Excellent (740+ FICO) Great (720-739 FICO) Good (700-719 FICO) Fair (680-699 FICO) Spotty (620-679 FICO) Not the best (<619 FICO) I dont know
*Do you have a 2nd Mortgage	Yes, the same time as my 1st Mtg Yes, AFTER my 1st mtg None
*Do you want to keep your 2nd?	Yes, for sure Yes, if possible No preference N/A
*What is your refinance objective? (Check all that apply)	Lower My Rate Lower My Payment Lower/Change my term Consolidate Loans Cash Out
*Do you have a loan consultant at Approved Funding?