loans4U@nationwideloanbrokers.com Residential Loan Inquiry Form. In order to provide you with the best possible service would you please complete the following preliminary questions? This will allow us to determine our course of action for any loan inquiry. Alternatively, you may call our office at 321-728-3320 if you wish to discuss your specific needs with a counselor. ***Servicio al Cliente en Español. * Indicates required field. Name (Borrower)* Phone (home)* Phone (work)* Mobile Phone (Cell) Fax Email Address Best Time To Call* Name (Co-Borrower) Phone (home) Phone (work) Mobile Phone (Cell) Fax Email Address Best Time To Call Type of Loan Inquiry* Purchase Land Purchase Home Refinance Second Mortgage Mobile or Manufactured Home Condominium or Townhouse Other If you selected "other" Please specify* If this loan inquiry is for a "Home Purchase" please complete the following questions. 1. How much cash do you have to put down on your new home? Borrower:   Co-Borrower:   2. Will you need to sell your current home? (If applicable) Borrower:   Co-Borrower:   3. In your opinion, please rate your credit as excellent, good, fair, or poor. Borrower:  excellentgoodfairpoor Co-Borrower:  excellentgoodfairpoor 4. What is your annual income? Borrower:   Co-Borrower:   5. How many late payments have you had on your mortgage or rent (over 30 days) in the last 12 months? Borrower:   Co-Borrower:   6. When would you like to settle on your new home? 7. Have you begun looking for a home? yes no 8. Do you have a Realtor? yes no     If so, please give name and phone number of Agent.     Name:   Phone:   Note: This inquiry is not intended nor will it be used to Pre-qualify you for a residential loan as this can only be done by a licensed Mortgage Broker or Lender. This information will, however, help us determine which lenders we will submit your actual loan application. If this loan inquiry is for a "Home Refinance", please complete the following questions. 1. What do you want to accomplish? 2. What is the estimated value of your home? Borrower:   Co-Borrower:   3. How much do you owe? Borrower:   Co-Borrower:   4. When did you buy your home? Borrower:   Co-Borrower:   5. What did you pay for the home? Borrower:   Co-Borrower:   6. How many late payments have you had on your mortgage or rent (over 30 days) in the last 12 months? Borrower:   Co-Borrower:   7. What is your annual income? Borrower:   Co-Borrower:   8. In your opinion, please rate your credit as excellent, good, fair, or poor. Borrower:  excellentgoodfairpoor Co-Borrower:  excellentgoodfairpoor 9. What are the rates and terms of all current financing? Note: This inquiry is not intended nor will it be used to Pre-qualify you for a residential loan as this can only be done by a licensed Mortgage Broker or Lender How did you find out about Nationwide Loan Brokers, Inc.?*   For a prompt response to any questions or comments you may have, please send an e-mail to loans4u@nationwideloanbrokers.com or you may call our business office. Our hours of operation are: Monday-Friday, 9 am – 7 pm.      Copyright © 2010, Nationwide Loan Brokers All Rights Reserved. No one employed or affiliated with NATIONWIDE LOAN BROKERS gives legal advice. No information contained in this profile of NLB is intended to give legal advice. All information on this Website is believed to be accurate, however, it is subject to change without notice.