Please fill in all the required
( * ) fields below
and click the submit button.
Borrower*
Co-Borrower
Address 1*
Address 2
City*
State*
Choose a state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, D.C.
West Virginia
Wisconsin
Wyoming
Zip
Daytime Phone*
Evening Phone
Email*
Best Time to Call
Select
Morning
Afternoon
Evening
Anytime
Primary Income
Frequency
Select
Annually
Monthly
Weekly
Combined
Secondary Income
Frequency
Select
Annually
Monthly
Weekly
Credit History*
Select
Excellent
Good
Fair
Poor
Have you ever filed for bankruptcy?*
Yes
No
New Loan Amount*
Interested In*
Select
Interest
Only Loans
5
Year Fixed Interest Only
One Month Libor
Six Month Libor
All
Interest Only Loans
30 Year
Fixed Rates
20 Year
Fixed Rates
15 Year
Fixed Rates
Other
Down Payment*
Select
More than 20%
Between 10-20%
Between 5-10%
Other
Closing Date*
Select
30 Days
30-60 Days
60-90 Days
90-180 Days
Over 180 Days
New Loan Type*
Select
New Home
Purchase
Refinance
Quote Request
Home Equity
Line
Property Location*
Choose a state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, D.C.
West Virginia
Wisconsin
Wyoming
Property Type*
Select
Single
Family Residence
Condominum
Townhome
2-4 Units
Property Usage*
Select
Primary Residence
Second Home
Investment
Property
Value or Purchase Price*
Referred By:
Select
Google
MSN
Yahoo
Other
Comments
By
submitting this request form, I/We agree to
the terms and conditions for the use of this
site:
Disclaimer
Once you have completed
this expression of interest (or information
request form) your information will be sent
to our participating lenders. One or more of
our participating lenders will contact you by
telephone. By submitting your expression of
interest you are consenting to receive telephone
calls from our participating lenders even if
you are currently on the do not call list.
SubmitMyMortgage.com is an
independent information service and is not affiliated
with any lending institution. We are not a Lender
or a Broker of Mortgages. We do not recommend,
endorse, refer, advise nor do we prefer individuals
to use any particular company or companies that
may contact you. In fact, we expressly state
that we have no information as to the integrity,
legality, skill set or training of any company
or companies that may contact you. Individuals,
who find or choose a mortgage company based on
anything in this web site, do so at their own
risk and at their own discretion. SubmitMyMortgage.com expressly
disclaims all liability arising out of such a
decision, all responsibilities, and all resulting
damages including, but not limited to any punitive,
direct or consequential damages that may so arise
because of the company they have chosen or mis-chosen.
Use of Information
Neither SubmitMyMortgage.com nor any of the participating
financial institutions is responsible in any manner for any
damages whether direct, indirect, special or consequential,
howsoever caused, arising out of use of this web site, or
reliance on the information it contains. In particular, we
take no responsibility for any failure or non-performance
of any software or other technology associated with this
web site. The information contained on this web site and
pages within is not intended to provide mortgage or other
financial advice specific to the circumstances of any individual
and should not be relied upon in that regard. Any definitions
used in our service may or may not be accurate or may differ
between states or from professional to professional and should
not be relied upon in making any important decisions. The
mortgage calculators available at this web site are for general
illustrative purposes only.
Accuracy of Information
SubmitMyMortgage.com makes no representation or warranty
as to the validity or accuracy of any information contained
in this service, the contents of advertising and advertisements,
or for assertions, opinions or omissions therein. Facts and
information provided by either SubmitMyMortgage.com or
any of the participating financial institutions are believed
to be accurate and current when placed on the web site; neither SubmitMyMortgage.com nor
the participating financial institutions assume any responsibility
for the accuracy thereof. Changes may be made at any time
to the information at this web site without prior notice. SubmitMyMortgage.com and
the participating financial institutions make no warranty,
guarantee, or promise, concerning the accuracy or timeliness
of mortgage rates.
Security and Personal Information
The information that you provide in any form on our web site
will not be disclosed to anyone other than the lenders associated
with this site. We will not under any circumstances, distribute,
or provide your personal information (such as your name,
phone numbers, e-mail and postal address), or financial information
of any kind to anyone else. Such lender(s) will use this
information only as directed by you. No Credit Check can
or will be run by the mortgage companies who receive your
information .We never request any sensitive information such
as date of birth, social security number or driver’s
license number.