Mortgage123.com

You have chosen to get quotes for a Purchase mortgage loan. Please complete the remainder of this application to receive your quotes.

Home Type

Credit Rating

First Name

Last Name

Present Street Address

City

State

Zip

Phone Number
That is my:

Alternate Phone Number (optional)
That is my:

The Property to be financed is a:

The value of the property or the purchase price is:

The amount I would like to borrow is:

If refinancing - Amount of mortgage(s) that will be paid off:

$($0 if none)

I am:

I have a co-borrower.

YesNo

If yes, my co-borrower's credit rating is:

My co-borrower is:

If you have already spoken with a Mortgage123.com loan officer, select their name:

Please read and acknowledge:

                I understand that I will be provided with quotes from highly rated lenders such as CitiMortgage, Wells Fargo, Chase, etc. I understand that I will be provided with a highly trained mortgage adviser that may provide me with further information such as terms, closing costs, processing time, etc. I understand that all quotes are subject to the lender's final determination and that I may or may not qualify for any mortgage quoted without going through a formal mortgage qualification. Such qualification will be offered by my mortgage adviser and I may, but am not obligated, to go through such qualification. Furthermore, I understand that my mortgage adviser is not employed by the lenders listed on this website but is employed by MortgageOne, Inc. or its subsidiary, Mortgage123, Inc depending upon the state my property is located in. Mortgage One, Inc. and/or Mortgage123. Inc. makes no representation or guarantee that I will be accepted into any quoted program without going through a more formal qualification process.

Acknowledged & Agreed