Mini Wisconsin and Illinois Mortgage Application

Your name:

Address:

City:    State:     Zip:

Phone number - Home/Eve (with area code):

Phone number - Work/Day (with area code):

Phone number - Cell Phone (with area code):

Best time to call:

Best way to contact: Home  Work   Cell   Email

Email address:

When will you be purchasing or refinancing? ASAP! Within 3 Months Within 6 Months Other

What is your gross annual income?

What type of loan are you looking for?   Pre-qualify Purchase Refinance Line of Credit 
(Please click all that apply)                     Debt Consolidation 2nd Mortgage Cash out Other:

How did you hear of Ameristar? Search Engine Another Website MadCityHomes MadisonClick HomeLoansLocal MortgageLeadGuide Phone Book Flyer Through the Mail Realestate Agent Title Company Friend Coworker Other

If other, please specify:

PURCHASE INFORMATION
Fields in Red are required only for purchase transactions:

Purchase Price:

What city and state is the property you want to finance:

How would you rate your credit? Poor Fair Good Excellent

First Home? Yes No

Veteran?      Yes No

Down payment?     %

REFINANCE INFORMATION
Fields in Red are required only for refinance transactions:

Current mortgage balance:

Current Interest Rate:

Current estimated market value:

How would you rate your credit? Poor Fair Good Excellent

Need cash?Yes No

Do you want to escrow?Yes No

Questions or Comments: