Palladium Financial - Mortgage and Insurance - Arvada, Colorado

-Friday, November 21, 2008-

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Quick Mortgage Quote

Select Your Palladium Representative
Rep Name	(or leave blank)
Did someone referr you?	Yes If so, who? This is important because our business is largely based on referrals.
Are you working with a Real Estate Agent?	Yes If so, who?
BORROWER INFORMATION
* First Name		* Last Name
C0-Borrower First Name		C0-Borrower Last Name
* Home #		Cell #
* Email
Loan Information
* Est. Loan Amount
Est. Down Payment
Est. Purchase Price
* Loan Term
* Purpose of loan
* Property Use
* Property Type
Income INFORMATION
Monthly Household Income	Self-Employed? Yes No
* Credit Rating	Excellent Good Fair Poor Don't Know
Total LIABILITIES
How much debt are you currently responsible for?		(ie. car loan, total credit card debt, student loans etc. This does not include utility bills, groceries etc.)
What are your total monthly payments for these debts?
Comments?
BY SUBMITTING THIS APPLICATION I GIVE PALLADIUM FINANCIAL SERVICES AND OR PALLADIUM PARTNERS, AUTHORIZATION TO ORDER A CONSUMER CREDIT REPORT AND VERIFY OTHER CREDIT INFORMATION, INCLUDING PAST AND PRESENT MORTGAGE AND LANDLORD REFERENCES. THE INFORMATION 0BTAINED IS ONLY TO BE USED IN THE PROCESSING OF THIS APPLICATION FOR A MORTGAGE LOAN.
This is a secure online application.

Thank you for taking the time to fill out this application. If you have any questions please contact us.