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Toll Free 1.855.432.0600

Please submit the following information so that we may offer you a free consultation. A * indicates a required field.
* First Name
* Last Name
Property To Be Refinanced
Street address
City
State
Zip
* Work/Cell phone
Home phone
Fax
* Email
The property is my:
Current First Mortgage Information
Monthly payment $
Approximate balance $
Current interest rate %
Current Second Mortgage / Home Equity Loan
Monthly payment $
Approximate balance $
Current interest rate %
Did you obtain your second mortgage when you purchased your home? YES NO
Requested Loan Information  
This request is for:
Requested loan amount $
Sales price at time of purchase $
Current approximate value of the property $
Will you escrow taxes & insurance YES NO
In what year was the property acquired
What are the annual real estate taxes $
What is the annual cost of homeowner's insurance $
Preferred loan program
Preferred loan term
Lowest middle credit score (if known)
Additional comments  
type the security word -

Refinancing your existing mortgage, or mortgages, requires great care. We encourage you to 'shop' for the msot knowledgeable consultant offering the most beneficial and competitive loan options. The mortgage company's good reputation is also of utmost importance.

Begin by completing all known fields on the left. Be sure to type the 'security' word in the field provided before you click on the 'Submit' button.
This will ensure that your request will reach us in a timely manner. We will respond to your request promptly upon receipt.

 Thank you for contacting
PALM STATE MORTGAGE COMPANY