first lead form"*" indicates required fieldsAre you looking to purchase or refinance? Purchase RefinanceWhat is your goal? Lower Rate Get Cash BackAre you or your spouse retired or active military? Yes NoActive Military or Retired? Active RetiredAre you receiving military retirement or VA Disability pay Yes NoWhat is the estimated purchase price? Under $150,000 $150,000 to $250,000 $250,001 to $350,000 $350,001 to $500,000 $500,001 to $750,000 $750,001 to $999,999 Over 1 MillionWhere are you in the buying process? I’m under contract Ready to make an offer Buying in 1-3 months Buying in 3+ monthsThis field is hidden when viewing the formWhat is the estimated purchase price?$0 to $10,000$10,001 to $20,000$20,001 to $30,000$30,001 to $40,000$40,001 to $60,000$60,001 to $80,000$80,001 to $100,000$100,001 to $120,000$120,001 to $140,000$140,001 to $160,000$160,001 to $180,000$180,001 to $200,000$200,001 to $250,000$250,001 to $300,000$300,001 to $350,000$350,001 to $400,000$400,001 to $450,000$450,001 to $500,000$500,001 to $550,000$550,001 to $600,000$600,001 to $650,000$650,001 to $700,000$700,001 to $750,000$750,001 to $800,000$800,001 to $850,000$850,001 to $900,000$900,001 to $950,000$950,001 to $1,000,000$1,000,001 to $1,500,000$1,500,001 to $2,000,000Over $2,000,000 $350k - $400k $0 $2m +This field is hidden when viewing the formWhere will your new home be located?City or Zip CodeAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificWhere will your new home be located?*This field is hidden when viewing the formEnter the property addressAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificEnter the property addressIs this the first use of your VA entitlement? Yes NoWhat is your credit score? 740 or higher 720 - 739 680 - 719 620 - 679 580 - 619 Below 580Do you currently have a home to sell? Yes NoDo you currently have a VA loan on your property?* Yes NoThis field is hidden when viewing the formPlease estimate the value of the property$0 to $10,000$10,001 to $20,000$20,001 to $30,000$30,001 to $40,000$40,001 to $60,000$60,001 to $80,000$80,001 to $100,000$100,001 to $120,000$120,001 to $140,000$140,001 to $160,000$160,001 to $180,000$180,001 to $200,000$200,001 to $250,000$250,001 to $300,000$300,001 to $350,000$350,001 to $400,000$400,001 to $450,000$450,001 to $500,000$500,001 to $550,000$550,001 to $600,000$600,001 to $650,000$650,001 to $700,000$700,001 to $750,000$750,001 to $800,000$800,001 to $850,000$850,001 to $900,000$900,001 to $950,000$950,001 to $1,000,000$1,000,001 to $1,500,000$1,500,001 to $2,000,000Over $2,000,000Estimate the value of the property Over 1 Million $750,001 - $999,999 $500,001 to $750,000 $350,001 to $500,000 $250,001 to $350,000 $150,000 to $250,000 Under $150,000$350k-$400k $0$2m +This field is hidden when viewing the formWhat is your mortgage balance?I don’t have a mortgage$10,001 to $20,000$20,001 to $30,000$30,001 to $40,000$40,001 to $50,000$50,001 to $60,000$60,001 to $70,000$70,001 to $80,000$80,001 to $90,000$90,001 to $100,000$100,001 to $120,000$120,001 to $140,000$140,001 to $160,000$160,001 to $180,000$180,001 to $200,000$200,001 to $250,000$250,001 to $300,000$300,001 to $350,000$350,001 to $400,000$400,001 to $450,000$450,001 to $500,000$500,001 to $550,000$550,001 to $600,000$600,001 to $650,000$650,001 to $700,000$700,001 to $750,000$750,001 to $800,000$800,001 to $850,000$850,001 to $900,000$900,001 to $950,000$950,001 to $1,000,000$1,000,001 to $1,500,000$1,500,001 to $2,000,000Over $2,000,000What is your mortgage balance? Under $100,000 $100,001 to $150,000 $150,001 to $250,000 $250,001 to $350,000 $350,001 to $500,000 Over $500,000 $200k - $250k $0$2m +This field is hidden when viewing the formHow much cash would you like to borrow?$10,001 to $20,000$20,001 to $30,000$30,001 to $40,000$40,001 to $50,000$50,001 to $60,000$60,001 to $70,000$70,001 to $80,000$80,001 to $90,000$90,001 to $100,000$100,001 to $120,000$120,001 to $140,000$140,001 to $160,000$160,001 to $180,000$180,001 to $200,000$200,001 to $250,000$250,001 to $300,000$300,001 to $350,000$350,001 to $400,000$400,001 to $450,000$450,001 to $500,000$500,001 to $550,000$550,001 to $600,000$600,001 to $650,000$650,001 to $700,000$700,001 to $750,000$750,001 to $800,000$800,001 to $850,000$850,001 to $900,000$900,001 to $950,000$950,001 to $1,000,000$1,000,001 to $1,500,000$1,500,001 to $2,000,000Over $2,000,000How much cash would you like to borrow? Under $50,000 $50,001 to $100,000 $100,001 to $150,000 $150,001 to $250,000 $250,001 to $500,000 Over $500,000$100k -$120k What is the rate on your loan ? 3% - 3.99% 4% - 4.99% 5% - 5.99% 6% - 6.99% Over 7%Enter your contact detailsName* First Last Email* Phone* By providing your name, email, and phone number, you consent to share this information with our network of VA loan specialists and lenders to assist you in your VA loan application process. Your information will be handled securely and used solely for this purpose.NameThis field is for validation purposes and should be left unchanged.
