Property Type

Occupancy Type

What is your current loan balance?

What is your current interest rate?

What is your monthly payment?

Does your payment include taxes and insurance?

If yes, Please fill out the following two Tax and Insurance questions? If not, skip the tax and insurance questions.

Tax: Amount Monthly

Insurance: Amount Monthly

If you have a 2nd mortgage please fill out the following information, If you do not have a 2nd mortgage please hit next for the next page.

Do you have a 2nd mortgage/Home Equity Line of Credit (HELOC)?

(Ignore if no 2nd) Was your 2nd used to purchase your home?

(Ignore if no 2nd) What is the current 2nd loan balance?

(Ignore if no 2nd) Do you want to pay off 2nd or keep it?

(Ignore if no 2nd) What is the current 2nd rate? (Your best guess is fine!)

(Ignore if no 2nd) What is your monthly 2nd payment?

Reason for financing

If Cash Out How much?

What Term Would You Like?

If Purchase, How much do you have for a down payment?

Are you eligible for a VA Loan?

What do you approximate your home value to be?

What is the address of the subject property so we can check the value and property tax amount?

What do you estimate your current credit score to be?

Is email the best way to send you the estimates and any other information?

What is your email address? *

What is your telephone #? *

First Name *

Last Name *

Explanations from previous pages or anything else you would like to elaborate on: Cash out / Debt consolidation etc.

To help get more exact figures, please use our secure upload area, and send us your current mortgage statement Click on "Document Upload Secured" on main page. Or email it to us at admin@greenbackfunding.com

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