Andy Harris, CRMS NMLS # 124161 (503) 880-2427 firstname.lastname@example.org Step 1 of 22 4% What Are Your Goals? I want to buy a home I want to refinance my home Complete this form to receive your Free Quick Quote. No Hassle. No Obligation. No SSN or Sensitive Information Required. Where are you looking to buy? City or Zip CodeCity or Zip Code* Where is the home located? City or Zip CodeCity or Zip Code* What type of home is it? Single Family Townhouse Condominium Multi-Family Where are you in the home buying process? Signed a purchase contract Found a home Looking to buy within one month Looking to buy in 1 to 3 months Looking to buy in more than 3 months How do you plan to use your new home? Primary Residence Vacation Property Investment Property Have you or your spouse served in the US military? Yes No What is your (or your spouse's) branch of military service? Army Marine Corps Navy Air Force Coast Guard National Guard Military Spouse Other VA Eligibility No Military Experience Are you actively working with a real estate agent? Yes No Is this your first time purchasing a home? Yes No What is the approximate purchase price of the new property?(it's OK to estimate) What is the estimated value of your property?Use the slider to select the price range of homes you're interested in (it's OK to estimate) How much do you have for a down payment?(it's OK to estimate)What is the balance of your first mortgage?(It's OK to estimate) What is the interest rate of your first mortgage?(It's OK to estimate) Do you have a second mortgage? Yes No How much additional cash do you wish to borrow?(It's OK to estimate or if no cash-out leave at $0) What is your current employment status? Employed Self-Employed/1099 Independent Contractor Retired What is your household gross (before taxes) annual income? Less than $30,000 $30,000 - $50,000 $50,000 - $75,000 $75,000 - $100,000 Greater than $100,000 What is your credit score? Excellent (720+) Good (680 to 719) Fair (620 to 679) Poor (619 and below) Have you had a bankruptcy or foreclosure in the past 3 years? Yes No What is your name?* First Name Last Name What is your email address?* What is your phone number?* How did you find us?Google/Internet SearchOnline AdvertisementFamily/FriendsRealtorReturning ClientVideo/YouTubePostcardSocial MediaOtherIf referred, who referred you to us?