Step 1:  Tell Us About Your Needs     All information you submit will remain Safe, Secure and Confidential   Purpose of Loan   Select One Lower My Monthly Payment Lower My Interest Rate Consolidate My Debt Change My Mortgage or Rate Terms Make Home Improvements Take Cash Out Plan to Payoff Mortgage Early Home Equity Line of Credit Purchase a Primary Residence Purchase a Vacation Home Purchase an Investment Property (1-4 Units) Purchase an Investment Property (5+ Units)   Property State   Select State 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 Mississippi 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 We do NOT offer financing for MOBILE HOMES!   Select your credit profile Note: Your credit report will not be run for this inquiry    Excellent  Good  Fair  Poor

Step 2:  Tell Us About Your Loan   Desired Loan Amount                     $  .00   Current 1st Mortgage Balance (Example: 100,000) $    .00         Current 1st Mortgage Interest Rate (Example: 7.375)   2 3 4 5 6 7 8 9 10 10+ . 0 125 250 375 500 625 750 875 %     Type of Rate   Fixed Adjustable   Do you have a 2nd mortgage on your home?   Yes   No   2nd Mortgage Balance $ .00   2nd Mortgage Interest Rate   2 3 4 5 6 7 8 9 10 10+ . 0 125 250 375 500 625 750 875 %   How much additional cash do you wish to borrow? (Example: 20,000) $    .00   (Optional)

Step 3:  Tell Us About Yourself       Annual Income (Example: 50,000) $ Select One Less than 30,000 30,000 - 44,999 45,000 - 59,999 60,000 - 74,999 75,000 - 89,999 90,000 - 104,999 105,000 - 120,000 More than 120,000      (OK to estimate)               Income Documentation Requested?   Select One I can provide 2 Years W-2s or Tax Returns (Full Documentation) I need a Stated Income Loan I need an E-Z Qualifier/No Red Tape Loan I can provide 12-24 Month's Bank Statements documenting Income       What is your occupational status?   Select One Employed Self-Employed Retired Not Employed     Monthly Debt Payments $ Select One 0 - 249 250 - 499 500 - 749 750 - 1000 More than 1,000          (OK to estimate)     (Exclude housing expenses and utilities)         Have you declared bankruptcy    in the past 7 years?   Never/Not in last 7 years Less than 12 months ago 1-2 years ago 2 -5 years ago 5-7 years ago

Step 4:  Tell Us About Your Loan and Your Property       Home Description   Single Family Multi-Family (1-4 Units) Multi-Family (5+ Units) Condominium Townhouse Commercial Property NO Mobile Homes financing available!     Purchase Year   2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944     Estimated Home Value (Example: 250,000) $    .00 (150,000 minimum)

      Years You Expect to Own Property     Select One Less than 12 months 1-3 Years 3-5 Years 5-7 Years 7-10 Years 10-20 Years 20-30 Years

Step 5:  Tell Us About Yourself       First Name     Last Name     Address     City     State   Select State 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 Mississippi 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   Zip Code     Phone Numbers   Preferred ( )  -   Ext.    Alternate ( )  -   Email     Yes! I'd like to receive your FREE Report "How To Get Out of The Debt Rat Race".