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Applicant Information

Name *FirstLastLayoutAge *Martial Status *

• Single
• Married

Co-Applicant Name *

Street Address *

LayoutCity *State *Zip Code *LayoutE-mail *Evening Phone *Day Time Phone *Best Time to Call

Loan Information

Desired Loan Amount *LayoutI Currently *Own PropertyRent PropertyType of Property *NoneSingle PropertyCondoTownhouseInvestmentApartmentOtherMonthly Payment *LayoutAnnual Income *Please Select$20,000$25,000$30,000$35,000$40,000$45,000$50,000$55,000$60,000$65,000$70,000$75,000$80,000$85,000$90,000$95,000$100,000My Credit History Is *Please SelectExcellentGoodFairPoorEver filed for bankruptcy? If so, Tell us Date in Y/M/D: *

Property Information

LayoutType of Property *NoneSingle PropertyCondoTownhouseInvestmentApartmentOtherProperty City *Estimated Purchase Price *Property StateQuestions / CommentsI would like to recieve more information on Archie Mae products. *

• I understand that by submitting this application that I am not applying for a loan. This application is being used as a pre-qualification only and is not an application for credit. I acknowledge that Archie Mae has informed me that they are not a direct lender nor broker of mortgage financing products for consumers and that I understand my submission will be routed to a participating licensed lender.

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