Equitable Mortgage Corporation

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ABOUT EQUITABLE
MORTGAGE

PURCHASES & NEW
CONSTRUCTION

REFINANCE
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REFINANCE
CASH OUT

SECOND
MORTGAGES

MONTHLY
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CALCULATOR

LOAN APPLICATION
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" LOAN QUOTE " REQUEST FORM (Please fill out all applicable blanks below.) (Then click "Send to Equitable" at bottom.)

You incur no obligation by requesting a quote. All information is private and confidential. Submitting this form only means you will only receive a reply from an Equitable Loan Professional regarding your loan inquiry. You do not need to fill in all the blanks below -- only the ones marked with a star (*) are required.

Name*:
Address*:
City*:	State*:	Zip*:
Phone*:
Fax:
E-Mail*:

   *  required

If you've already talked with an Equitable representative please help us route this form to them by entering their name here:

* Are you inquiring about:
PURCHASING or REFINANCING? (Please click the circle in front of either "Purchase" or "Refinance".)
Purchase     Refinance
(....then please fill out the corresponding section below:)

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If you are inquiring about PURCHASING property
then please fill out the section immediately below.
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Estimated value of home you wish to
purchase ($) :

Do you have a realtor?
(Please click the circle in front of either "YES" or "NO".)
YES NO

Equitable will prequalify you over the phone if you would like at: 1-800-424-1232

With today's volatile interest rates, locking in your interest rate and closing costs is a must. Don't take chances. Get it in writing from an Equitable Mortgage Professional. Don't find out that your rate isn't locked or your closing costs are double at the closing table. TRUST the professionals at Equitable.

(End of questions about PURCHASING.)
*******************************************

*******************************************
If you are inquiring about REFINANCING property
then please fill out the section immediately below.
*******************************************
Estimated Value of Your Home ($) :
Current Loan Balance ($) :
Current Interest Rate (%) :

Do You Have a Second Mortgage or Equity Line of Credit?
(Please click the circle in front of either "YES" or "NO".)
YES NO

If Yes, Current Balance ($) :
Current Interest Rate (%) :

(End of questions about REFINANCING.)
*******************************************

Any Comments?
(NO social security numbers please!)

Click this left button to send this form to Equitable Mortgage.		Click this right button to clear all fields and start over.

The most important question you must ask yourself is, "How long am I staying in my home?" We have a loan programs that will save you money if you are staying in your home for one (1) more year or thirty (30) more years.

You can save money by refinancing, even if you are only lowering your rate by 1/2 of a percent. Ask About the Lifetime Lender Program, Ratewatch Program and Strategic Refinancing Program. We will do the numbers for you and you will be amazed!

E-mail: info@equitablefinancial.com Phone: (614) 764-1232 1-800-424-1232 FAX: (614) 764-1281 Address: 3530 Snouffer Road, Suite 100, Columbus, Ohio 43235