www.SouthShoreLending.com

Purchasing Application
(* Required Fields)
(Please try to fill in all the fields)
Contact Information:  
Name:*
Home #:*
Work #:
E-MAIL:*
Property Location:  
City: *
State:*
Loan Request:*  
Purchase Credit Line
Refinance Home Improvement
Other, please explain:
Loan Amount:  
Loan amount desired is $
Type of Loan: *  
30 yr fixed 15 yr fixed
30/5 yr fixed 30/7 yr fixed
Adjustable Undecided
Other, please state:
Personal Information:*
Annual household income is $
My Credit History is:  
Excellent Some credit problems
Good, but some lates Major credit Problems
Don't Know?
Time Frame:  
Thinking about it Actively looking
About to make an offer
 Have a sales contract
Realtor Information:  
I am working with a realtor Please refer me to a realtor
I am buying directly from the seller I am buying directly from the builder
Purchase Price:  
I expect to buy a home between $ and $ .
Down Payment:  
I expect to put between % and % down.
 

Phone: (305) 228-0021 E-mail: info@southshorelending.com
 We are licensed in the following states: Florida
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