Home / Refinancing Form Refinancing Form Property Borrower Current Mortgage New Mortgage Goals Credit Income How Did You Hear About UsContact Information "*" indicates required fields Step 1 of 8 – Property 12% Where is your propery located?*Select…*AlabamaArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMaineMarylandMichiganMinnesotaNew HampshireNew MexicoNorth CarolinaNew JerseyNew YorkNevadaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaTennesseeTexasVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWhat type of property is it? Single Family Home Multi-Family Home Condominium Town Home Are you or your spouse an active military member, reserve member, or veteran? Yes No Do you have a second mortgage? Yes No What's the estimated value of the property?Please enter a number from 80000 to 2000000.What's the remaining balance on the mortgage?Please enter a number from 0 to 2000000.What is your current interest rate?Please enter a number from 2 to 10. What are your mortgage goals? Change mortgage program (FHA vs. Conventional) Change your rate Debt consolidation Make monthly payment more affordable Take cash out Would you like to borrow additional cash? Yes No How much?Please enter a number from 0 to 200000. What's your estimated credit score?Select…580-619620-639640-659660-679680-699700-719720-739740+UnsureHave you ever made any late mortgage payments in the last year? No 1 Late Payment 2+ Late Payments Have you filed for bankruptcy or foreclosure in the last four years? Yes No What's your employment status? Employed Not Employed Self Employed Military Retired Other What's your gross monthly household income?Please enter a number from 0 to 10000. How Did You Hear About Us?Select…Allied Loan OfficerBank RateCurrent/Past CustomerLending TreeOwn UpState specific loan programZillowOtherFoxNY PostPlease tell us how you heard about usLoan OfficerSelect a Loan OfficerAdam FinkAjsa HebibovicAmber ElamAndrew McDonoughAndrew NecowitzAndrew SachsAndrew SavardAnthony MendicinoBianca AlvarezBob WexlerBobbi LachanceBrandon RizkBrandon ShillingBryan StrazzellaCaleb RichardsonCathy FernandesChristopher PetersonDanna HagenburgerDashmesh SinghDavid KnausDominick LombardoDonald HolmesEdward RizkEric DickensonFazila RashidGeorge TheodorouGregory BettsJack McGuireJagtar SinghJan SorianoJanet AngeloJason BloomJason HortenJay WalshJeff ZulferJohn HaglerJohn LongstreetJoseph McCannJustin StranereKaren PavlovichKevin ZensteinLacey HoodManada SinghMaria LaffredoMark A. RussellMark CrocettoMartin LoughMegan CarrMichael HanfMichael PuteloMichael RogersMichael SweeneyMike McKeownNancy DavisPatrick NitschePatrick TownPaul ArmstrongPaul BierlyPaul GaleskiPaul TerrusoPaula EmondRajwinder KaurRipalkumar PatelRobert GlazewskiRobert StephanRobin BuchananRon KurzRose DaileyRosemarie Gadsby-DevlinRussell MahrtSamreen-Joy MinhasSamuel CoronaSanjiv VigScott BrooksShawn CohenShawn MartinSofia HaasSteve FuhrmanSteve LewisSteven GalinSumit RajpalSusan ArpaThomas Ippolite, Jr.Thomas KembleW. Daniel LapicWendy Monaco How should your loan officer contact you? Your information is kept confidential. We do not sell or share your information.Name* First Last Email* PhoneBest time to reach you?By clicking “I agree” and “Submit,” you agree to Allied Mortgage’s Terms of Use and Privacy Policy. You consent to receive phone calls and SMS messages from Allied Mortgage to provide updates/support concerning your loan and/or for marketing purposes. Message frequency may vary, message and data rates may apply. You may opt-out by texting “STOP.” Reply “HELP” to receive help. Please see our Privacy Policy, linked Here. Δ Prefer to speak to a loan expert? Contact a mortgage expert info@alliedmg.com