Arizona Real Estate
Mortgage Professional

Fidel Manzano 10000 N 31st Ste. A103 Phoenix, AZ 85051 Profusion Real Estate Off.: 602.499.3143 Off.2: 602.795.8538 Cell: 602.499.3143 Fax: 602.795.8539

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Loan Pre-qualify Form Loan Application Refinance Application Application Checklist

Apply for a Home Loan

To apply for a home loan, fill out the short form below. I will contact you as soon as possible so we can start the loan process.

Fields marked with an * are required.
 
First Name: *
 
Last Name: *
 
E-mail: *
 
Current Address:
 
City:
 
State:
 
Zip/Postal Code:
 
Daytime Phone: *
 
Evening Phone:
 
Are you looking for a property?: Already identified
Still looking
 
Address of the property
 
Type of residence
 
Property use:
 
Accumulated working years:
 
Years on current job:
 
Occupation:
 
Monthly salary (gross):
 
Current total savings:
 
Requested Loan Amount:
 
Desired Loan Term:
 
Your Credit:
 
Currently you: Own a property
Rent a property
 
I'm enclosing additional info of my: Co-borrower

Spouse
 
Tell us about your goals with the property:
 
 
Co-borrower or Spouse Information
 
Complete Name: *
 
E-mail: *
 
Current Address:
 
City:
 
State:
 
Zip/Postal Code:
 
Daytime Phone: *
 
Years on current job:
 
Occupation:
 
Monthly salary (gross):
 
Current total savings:
 
Co-borrower / Spouse Credit:
 
Co-borrower / Spouse currently: Owns a property
Rents a property
 
 
 
* Your privacy is important. Your information will not be shared, sold or exchanged with anyone outside of the scope of this service.