30 Second-Quick Form (Note: * Indicates a Required Field)
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Name * (First and Last)
Street Address *
City *		State *	Zip *	E-mail Address *
		AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Home Phone *				Work Phone *
Preferred Contact Time
Additional Information
Purpose of Loan *				Select One                        Refinance Refinance-Cash Out Construction Loan Debt Consolidation Home Improvement Second Mortgage Purchase Line of Credit
Type of Loan *				Select One                        <: 100 --> 30 Year Fixed 25 Year Fixed 20 Year Fixed 15 Year Fixed 10 Year Fixed 5 Year Balloon 7 Year Balloon FHA 30 Year Fixed VA 30 Year Fixed
My Credit Is *				Excellent Good Fair Poor
Desired Interest Rate *				5.9% and lower 6.0% 6.1% 6.2% 6.3% 6.4% 6.5% 6.6% 6.7% 6.8% 6.9% 7.0% 7.1% 7.2% 7.3% 7.4% 7.5% 7.6% 7.7% 7.8% 7.9% 8.0% 8.1% 8.2% 8.3% 8.4% 8.5% 8.6% 8.7% 8.8% 8.9% 9.0% and above
Borrower(s) Gross Monthly Income *				$ .00
Borrower(s) Total Monthly Debt *				$ .00
Current or Forecasted Home Value *				$ .00 (put in 0 if N/A)
Desired Loan Amount *				$ .00
Location of Property *				AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Type of Property *				- Single Family Residence Condo Commercial Manufactured Mobile Home Multi Unit
Comments
I understand that a Loan Representative will be contacting me.*

When deciding to refinance New Hampshire Mortgage.com suggests that you remember the following:

1. Even small interest rate cuts can pay off quickly with our low down and no down payment refinancing.

2. If you are going to stay in your home for more than 3 years, we suggest that you pay points in order to get the lowest possible interest rate.

3. If you cannot lay out any cash right now, you can still get the lowest possible interest rate by adding your closing costs and points to your new mortgage.

• Analyze your savings
  
• Consider other mortgage programs
  
• Get cash back