1-Minute Mortgage Checkup/ 2nd Opinion

You're in the right place if you're not sure what to do with your current mortgage set up, or if you have a quote from another lender and want a second opinion.

Loan Information

Loan Purpose   Select One Purchase Pre-approval Refi with cash back Refi to combine 1st and 2nd Refi to pay off other debts Refi with No Cash Back Home equity lines and loans Construction Lot purchase

This property will be your    Primary residence  Vacation home  Rental Property

What type of property are you buying?  

Single Family Home	2-unit (duplex)	3-unit	4-unit
Low-rise condo	High-rise condo	Town-home

Amount of cash you want at closing:

$

Approx current mortgage balances:

$   Approx 1st Mtg$  Approx. 2nd or HELOC

Approx $ amount of other debts you want to pay off:

$

Was the 2nd mortgage or home equity line you want to pay off used to purchase your home?

Yes No

Does your current payment include property taxes or insurance?

Yes No

Tell us about your current house payments:

$  Approx 1st Mortgage payment (not including taxes or insurance) $  Approx 2nd Mortage or home equity line payment $  Approx property taxes per month $  Approx monthly FHA or private mortgage insurance $  Approx home owners insurance per month

Purchase Price

$

Expected Closing Date

$

Please describe the financing you're considering

1st Mortgage amount $

1st mortgage Loan Types you're considering 30-yr fixed 10/1 ARM 20-yr fixed 7/1 ARM 15-yr fixed 5/1 ARM 7-yr balloon 3/1 ARM 40-yr fixed

1st Mortgage Special Features you're considering

Interest-only (principal optional) No Income Verification FHA Loan No Asset Verification WHEDA-1st time buyer No Tax Escrow VA Loan No PMI Single Loan

2nd Mortgage amount $

2nd mortgage Loan Types you're considering 30-yr fixed Home Equity Line 20-yr fixed Interest-only fixed rate 15-yr fixed

How did you hear about us?	$ Select Real estate agent Financial advisor Friend Radio Newspaper ad Employer Search engine Other bankrate.com HSH.com
Are you already working with an Accunet Loan Consultant?	$ Select Not yet Brian DesPlaines Brian Kostos Brian Wickert Jaime Suro Jason Weber Jerry Serketich John Voelz Jon Snodgrass Patrick O'Brien Rob Nilsson Sandi Kollenbroich Greggy

Information About You		Co-Borrower Information
First Name		First Name
Last Name		Last Name
Current Address		Address
Current City		City
Current State	Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississipi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	State	Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississipi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Current ZIP		ZIP
Social Security Number (Optional)		Social Security Number (Optional)
Email
Best Phone#
Best Time to Call	Choose OneAny Time Morning before 8:00 AM Between 8:00am and Noon Between Noon and 6 PM Between 6:00 PM and 8:00 PM After 8:00 PM
Comments/ Information you think we should know:
Yes, please obtain my credit report at no cost (please provide your social security #s above)   No, do not order my credit report at this time Privacy Policy and Regulatory Information Privacy Policy Accunetmortgage keeps your private information private. We do not share any of your nonpublic personal information with anyone, except as permitted by law. Examples of permitted disclosures include providing information to our employees and to third parties who need to know that information to assist us in providing services to you such as insurance companies, underwriting companies and lenders who purchase loans from us. We hope to earn your business again in the future, so we will always treat you as a client, and we will continue to abide by our privacy policy even after your loan is transferred to your servicing lender. From a regulatory perspective, you will no longer be our client once your loan is transferred, but rest assured we want to make you a customer for life. Types of Nonpublic Personal Information We Collect We collect nonpublic personal information about you from sources such as your loan application, consumer credit reporting agencies, and our conversations with you. We obtain this non-public information from you directly or with your authorization. Examples of nonpublic personal information we obtain include information about your income, employment history, assets, social security numbers, credit and bank account numbers. Protecting Current and Former Clients’ Nonpublic Personal Information We restrict access to your personal and account information to those employees who need to know that information to provide products or services to you. In order to guard your nonpublic personal information, we maintain physical, electronic, and procedural safeguards. Solicitations Based On Public Information You should be aware that whenever a person obtains a mortgage loan in the United States, the borrower’s name(s), the mortgage amount, property address, and mortgage lender’s name are all made public information by your local County Recorder’s Office. Therefore, you can expect to receive solicitations from any number of companies based on that publicly recorded information. For example, life insurance companies often send out solicitations based on recently recorded mortgage information. Please be aware, these companies often feature the mortgage lender’s name prominently in the solicitation material, even though we have nothing to do with their company or their offer. Again, even though a mailing may contain our company name, we did not provide your nonpublic personal information to anyone. Regulatory Information Federal law now allows customers like you and companies like us to conduct business electronically rather than requiring signatures on paper. We also want you to know about our privacy policy before you provide any private information to us. To continue with our on-line application, please read the information below and indicate your agreement to start your transaction with us electronically. Your consent will apply only to this transaction. If you decide not to continue with your application on-line, please call us toll-free at 877-299-9797. We'll be happy to handle your application by phone.   I acknowledge I have been given the opportunity to review Accunet's Privacy Policy and Regulatory Information