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Could you save with
one of our top 4 loans?

Whether you are looking to lower your payment or lock in your rate, our home loan experts have you covered.

Federal Housing Administration
Idaho Housing Association
15 Year Fixed Loans
30 Year Fixed Loans

Secure - Fast - No Obligation

*Loan Purpose:

*How much do you want to borrow:

*Your Name:

*Email Address:

*Phone Number:
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Notice of Disclaimer: By sending this E-Mail to us; you are authorizing Legacy Mortgage Group LLC to request and review a credit report of your financial condition which is necessary for approval.

A “Certificate of Approval” will be issued to you upon request.

BORROWER

CO-BORROWER
(If different)

Full name:

Address:

City

State:

Zip Code:

Home Phone:

Work Phone:

Best time to contact:

E-mail:

Social Security #:

Employers:

Employers’ Phone #:

Self employed ?

Length of Employment:

Gross Monthly Income:

Date of Birth:

My credit history is:

LOAN REQUEST

Amount Requested:

Type of loan:

IF PURCHASE

Purchase State:

Purchase Price :

Loan Amount :

Anticipated Closing Date:

IF REFINANCE

Street Address:

City, State, Zip Code:

Estimated Present Value:

Year Purchased:

Original Price:

Type of Property:

LOAN INFORMATION

Creditors

Amount Owed

Monthly Payment

Will you pay this off?

Other monthly debts and information – please describe

I am providing this information for use by Legacy Mortgage Group LLC only.

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