JerryWelcome to Mortgage Network

Refinancing Contact Form

  • Use this form to express interest in refinancing an existing home loan. This is not a formal application.
  • Please go to Apply Now! to use our "on line application" or to download our "loan application kit" which contains all the forms and disclosures required for a formal loan application.
  • For a new home purchase loan, please use the purchase form.
  • Please fill in as much information as possible for better, faster service.
  • Call us at: 1-800-909-6600

Your Contact Information

 Name
 Property address
 City, State, Zip
 Daytime phone
 Fax
 Email

Current Loan Information

Estim. value of property:
Current loan balance:
Current Payment:
Current loan type:
If you have an adjustable:
          Index
          Margin (%)
          Life cap (ceiling)
          Current rate
          Date of next adjustment

Purpose of refinance

I want to take advantage of lower rates.
I also want some additional "cash-out" of $

Financial Information

My credit history is:
   Excellent (no lates in last 12 mths)
   OK (Just a few dings)
   Bad

Income - Monthly:
Other debt - Monthly:

Comments