Purchasing Form Property Borrower Purchase Timeline Home Value Credit Income How Did You Hear About UsContact Information "*" indicates required fields Step 1 of 8 – Property 12% Where are you looking to purchase your home?*Select…*AlabamaArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaIllinoisIndianaKansasKentuckyLouisianaMassachusettsMaineMarylandMichiganMinnesotaNew HampshireNorth CarolinaNew JerseyNew YorkNevadaOhioOregonPennsylvaniaRhode IslandSouth CarolinaTennesseeTexasVermontVirginiaWashingtonWest VirginiaWhat type of property is it? Single Family Home Multi-Family Home Condominium Town Home Is this your first time purchasing property? Yes No Are you or your spouse an active military member, reserve member or veteran? Yes No Where are you in the home buying process? Signed a Purchase Agreement Offer Pending/Found Property Buying in 2-6 Months Researching Options Are you working with a real estate agent? Yes No Real Estate Agent Name Real Estate Agent PhoneReal Estate Agent Email What's the estimated purchase price of the property?Please enter a number from 80000 to 2000000.What is your estimated down payment?Please enter a number from 0 to 20.HiddenWhat is your estimated down payment? ($) What's your estimated credit score?Select One580-619620-639640-659660-679680-699700-719720-739740+UnsureHave 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 OneAllied Loan OfficerBank RateCurrent/past customerLending TreeOwn UpState specific loan programZillowOtherFoxNY PostPlease tell us how you heard about us Loan OfficerSelect a Loan OfficerAdam LeegerAjsa HebibovicAlicia AlpenfelsAndre RattrayAndrew NecowitzAndrew SachsAndrew SavardAnsar KhanAnthony MendicinoBeth WoodBianca AlvarezBlue HessnerBob WexlerBrandon RizkBrandon ShillingBrian WeinbergCaleb RichardsonCathy FernandesChristopher ClancyChristopher PetersonCrystal LopezDana BrigantiDashmesh SinghDavid KnausDirk WalkerDominick LombardoDonald HolmesDoug HillsEduardo BullerEdward RizkFazila RashidFrank Gozdalski JrFrederick BoaduGeorge TheodorouGreg SchatzGregory BettsHaylie TappanHelena AllenJanet AngeloJarnail SinghJason HortenJennifer PriceJessie ThompsonJoe TroupeJohn HaglerJohn KurtzJohn LongstreetJoseph McCannJulie DaleJustin StranereJustin WallaceKailyn McClainKaren PavlovichKaren RizzoKelly ContineKenneth BaltesKevin ZensteinKimberly RishelLacey HoodLouis ArpaManada SinghMaria LaffredoMaribel AparicioMark CrocettoMaryanne DaoMarybeth HecklerMegan CarrMelissa KinzleyMichael PuteloMichael SweeneyMichelle OteriMike McKeownNancy DavisNancy GarciaNatalie ReimerPatrick NitschePaul BierlyPaul GaleskiPaula EmondRadha TharoorRajwinder KaurRobert AdamsRobert GlazewskiRobin BuchananRon KurzRose DaileyRosemarie Gadsby-DevlinRussell MahrtSamuel CoronaSanjiv VigSarah GrebenickScott BrooksSean GornickSean SmithSharyn DiCarloShawn CohenShawn MartinShawn McCaffreyShazeem AlliSofia HaasSteve FuhrmanSteve LewisSteven GalinSumit RajpalSusan ArpaSusana BullerThomas Ippolite, Jr.Thomas KembleTimothy JoselynTodd AdelmanTrevor KengleW. Daniel LapicWendy MonacoYazmín Llamas 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? Δ Prefer to speak to a loan expert? Contact a mortgage expert info@alliedmg.com