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316-669-5272
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About Us
Today's Rates
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316-669-5272
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VA Loans
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VA Loans
Mortgage Calculator
BAH Calculator
Education
VA Loans
Mortgage Calculator
BAH Calculator
Education
Menu
VA Loans
Mortgage Calculator
BAH Calculator
Education
Loan Officer Call Form
Price Range
<$100k
$100-150k
$150-200k
$200-250k
$250-300k
$300-400k
$400-500k
$500-600k
$600-700k
$700k+
Not Sure
Price
$
State
Date
Borrower Info
First Name
Last Name
Phone
Email
Spouse / Other Info
Spouse/Other Name
Spouse/Other Phone
Spouse/Other Email
Respect Time, Up Front Questions?
1.)
2.)
3.)
Referral Source
Move/PCS Date
Loan Type:
VA Loan
Conventional
FHA
Other
Not Sure
Rate Expectation
Monthly Pmt
Married?
Yes
No
Separated w/ papers
Widowed
Dependents #
Est. FICO:
<580
580-659
660+
Estimated FICO
Income Source?
W-2
1099
Self-Employed
VA Disability
Retirement
Social Security
Other
Source of Income
BR/Foreclose past 7 years?
Yes
No
Closing Costs:
Needs
Wants
Indifferent
Real Estate Agent?
Yes
No
WVR
Refer to WVR
Name:
VA-Specific
First Use?
Yes
No
Military Status?
Active
Separated
Retired
Not Applicable
VA Disability 10%+?
No
Yes
if Yes, what %
%
Submit Form
Submit Form
Notes
Submission Confirmed
Thank you. Email of the submission is:
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