Apply Online

HMG Representative

If you have been in contact with Heartland Mortgage Group and would like to send this information to a specific Loan Originator, select that person below...

HMG Loan Originator:

Complete this form if you are interested in receiving information about a mortgage loan.

Instructions:

Complete the general information section.
Complete the section that applies to your needs:
- The purchase section only if buying a home.
- The refinance section only if refinancing.
- The credit line/equity loan section if applying for 2nd mortgage.
Click on the send button.

We will be in touch with you shortly to discuss your financing options. Thank you!

General Section

Contact Information

Name
Home Phone
Work Phone
E-mail
Best time to reach me

Property Location

City
State

Loan Request

Purchase
Refinance
Credit Line
Home Improvement
Other, please describe:

Loan Amount

Loan amount desired is $

Type of Loan

30 yr fixed
15 yr fixed
30/5 yr fixed
30/7 yr fixed
Adjustable
Haven't decided
Other, please state

Personal Information

Annual household income is $
My credit history is:	Excellent Good, but some lates Some credit problems Major credit problems Don't know

Purchase Section

FILL THIS OUT IF PURCHASING A HOME

Please skip to the next section if refinancing

Time Frame:	Thinking about it Actively Looking About to make an offer Have a sales contract
Real Estate Professional Information:	I am working with a Real Estate Professional Please refer me to a Real Estate Professional I am buying directly from the seller I am buying directly from the builder
Purchase Price:	I expect to buy a home between $ and $
Down Payment:	I expect to put between % and % down

Refinance Section

FILL THIS OUT ONLY IF REFINANCING

Please skip to the next section if applying for a second mortgage

Property Value:	The property should appraise for $ Don't know
Existing loans on property:	1st loan balance $ 2nd loan balance $ 3rd loan balance $
Reason for Refinancing:	Reduce Interest rates Change from fixed to adjustable Change from adjustable to fixed Need cash out. Cash out required $ Other, please specify...
Current loan type:	Fixed Adjustable Other, please specify...

Second Mortgage Section

FILL THIS OUT IF REQUESTING A SECOND MORTGAGE, CREDIT LINE, OR HOME IMPROVEMENT LOAN

Type of loan:	Credit line Fixed 2nd mortgage Other, please state...
Existing loans on property:	1st loan $ 2nd loan $
Do any of the loans have negative amortization?	Yes No Don't know
Reason for loan:	Home improvement Pay off bills Other, please specify...

Comments

Heartland Mortgage Group
8824 Swanson Blvd, Suite H
Des Moines, IA 50325
Ph: (515) 267-9992 | Fax: (515) 267-9993 | Toll Free: (877) 808-8833

� Copyright 2008, Heartland Mortgage Group