ARM Help Questionnaire

1. 1. On what date did you close (begin) the mortgage that you have now?

     (mmddyyyy)  Don't Know

2. 2. What was the beginning loan amount?

    $
    Don't Know

3. 3. What is the approximate value of your home today?

   $  Realtor estimate  Tax appraisal value  Best guess  Don't Know

4. 4. What type of mortgage do you have now?

    Fixed Rate  Adjustable Rate  Don't Know

5. 5. Is the mortgage that you have now a Veteran's Loan (VA) or FHA loan?

    Yes, a VA loan  Yes, an FHA loan  No, neither of these  Don't Know

6. 6. Have you had an equity (cash back) loan, either a first or second lien, or made a home improvement loan on your home?

    Yes, an equity (cash back) loan  Yes, a home improvement loan  No, neither of these  Don't Know

7. 7. What is the current interest rate on the loan that you have now?

     %
    Don't Know

8. 8. Is this the original rate on the loan, or has it adjusted since the loan began?

    The rate has not changed  The rate has adjusted  Don't Know

9. 9. Is the mortgage payment on your home current or behind schedule? (Being behind on your payment may not disqualify you from this special loan program.)

    Current (not late)  Behind schedule  Don't Know

10. 10. The best way to contact me with a new loan proposal is:

     Email  Phone

11. Please provide your contact information.

    * Denotes a required field

    *Name:  *Email:  *Phone:  Best time to call: Between &

Thank you for your time. You will get a response within ONE business day.