818 Route 202-206 North; Bridgewater, NJ 08807
1-800-327-0123
Fax (908) 722-2827
Loan For A Home Purchase

Name:

Current Address:
Street:
City: State: Zip:
Daytime Phone (include area code):
Home Phone:
Fax: Email:

Purpose Of The Loan:

I am interested in a loan some time in the future. Please keep me informed.
I am interested in buying a home and I would like to find the loan I can qualify for.
I want to get prequalified so that I can let a Realtor® know what I can afford.
I have found a home and I am ready to make an offer.
I have a signed sales agreement. Address Of Property:
Street:
City: State: Zip:

Regarding The Purchase:
1. I want to buy a home in the price range of:
Low $$ High $$

2. Type of Mortgage Desired:

30 Year Fixed
30 Year 7/1
30 Year 5/1
15 Year
ARM - 1 Year/3Year/10 Year 3. I want to make a down payment of $$ No Selection
Less Than 5%
5% - 10%
10% - 20%
20% or over 4. Gross Monthly Income:
BorrowerCo-Borrower
Monthly Wages:
Monthly Bonus:
Other Monthly Income:
5. Monthly Payments On Non-Housing Debt:
Installment Loans:
Credit Card Payments:
Other Monthly Obligations:
6. I have found a Realtor® Agent Name:
Agent Company:
Agent Phone: 5. I need to be put in touch with a Realtor® at a reduced commission in
City: State:

Comments/Special Requirements:

When you have filled out the form and are ready to send us your request, select "Submit Form" below. Thank you for your interest in Golden Mortgage.

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