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With LeadExchange™ working for you, you'll have confidence that the leads that your web site produces are only from interested consumers.  Below you'll find our standardized Home Improvement questionnaire.  All consumers are required to fill out the entire questionnaire in order to be considered a valid lead.  To return, please click here

Home Improvement Loans
A home improvement loan can go a long way toward letting you make your current home the home of your dreams!  Use the money to complete a project or for personal uses!  Take a minute to see what you could do with the money that a home improvement loan could provide today!

Instructions:  Please fill in this form as completely as possible in order to ensure that your quote will be as accurate as possible.

First we need to know about the type of property you are looking for

What type of residence will you be home improvement loan on is:

The home I'd like to home improvement loan is:
 

I currently have the following type of federal loan:
 

I currently qualify for the following type of federal loan:
 

Are you interested in a no-document loan?
 

I would like to find this loan in the next:
 

Next we need to know about your current mortgage:

What term of loan are you looking for?
 

Your current mortgage monthly payment:
$

Current mortgage interest rate:
 %

Do you need any cash back for anything  If so, how much
$

How much is your home currently worth:
$

Your home's original sale price:
$

How long have you owned your home:
 years

Your current mortgage balance:
$

Do you have a 2nd home loan?
 

2nd mortgage balance:
$

2nd mortgage monthly payment:
$

2nd mortgage interest rate:
 %

Finally we need to know about you

Are you self-employed?
 

If no, how long have you been with your employer:
 years

What type of loan do you want?
 

How is your credit?
 

How much do you gross each month:
$

How much do you owe each month:
$

E-mail Address:
 

Best time for a licensed professional to call?
 

First Name:
 

Have you thought of selling your home?
 

Last Name:
 

If yes, what is your time frame for selling?
 

Address Line 1:
 

Would you like a real estate broker to call you and explain your options?
 

Address Line 2: (Apt. #, Suite #, etc.)
 

Would you like an additional quote for any of the following Insurance products?

 Life Insurance
 Annuity (Retirement Vehicle)
 Long Term Care Insurance
 Disability Income Insurance
 Health Insurance
 Group Health Insurance
 Homeowners Insurance
 Auto Insurance

City:
 

State:
 

Zip Code:
 

Day Phone:
    

Eve Phone: