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First Name
*
Last Name
*
Surname
Phone
*
Email
*
Date of Birth
*
Address
*
City
*
State
*
Zip code
*
How did you hear about us?
*
Do You Currently Rent or Own?
Rent
Own
Current Monthly Rent/Mortgage Payment
Do you have a specific property in mind you'd like to purchase?
*
yes
not yet
Address of the property you'd like to purchase
Desired Approval Amount
*
Source of Downpayment
*
Preferred Monthly Payment
*
Currently Working with a Realtor?
*
I am working with a Realtor
I need to find a Realtor
I do not want to use a Realtor
If Yes, Please Provide Your Realtor's Name
Amount Available for Down Payment
*
Your Gross Monthly Income
*
Desired Monthly Payment
*
Employer's Name
*
If Self-Employed, What Industry?
Length of Employment
*
Have You Ever Been Evicted Or Lost A Home Due To Foreclosure?
*
Yes
No
If Yes, Provide Date(s) and Explanation(s)
Have You Ever Been Convicted Of A Felony?
*
Yes
No
If Yes, Provide Date(s) and Explanation(s)
Copy Of Photo ID (Passport, Drivers, License, Etc.)
*
Signature
*
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Contact
Hours
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Address
3160 W. Britton Rd. Suite DD Oklahoma City, OK, 73120
Customer Service
405-227-6143
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Toll Free
888-898-6143
Sales
405-594-6899
Email
[email protected]
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*After Hours by Appointment Only
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