Mortgage Qualification

Thank you for your interest.

Home Mortgages come in several varieties with many features and options. For example, you can choose a mortgage that has a fixed interest rate for seven years, and then the interest rate would adjust to the current market rates. If you're like most Americans, your home is your most expensive asset. Your choice of a mortgage is critical when planning for your future.

After completing the form, please click on the "Submit" button. Your information will be emailed to our offices and we will process your request. All information will be kept confidential.

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Contact Information


Borrower Information


Co-Borrower Information

Mortgage Information

Type of Mortgage: Conventional VA FHA FmHA Other
Purposer of Loan: Purchase
Length of new loan: 7 Years 10 Years 15 Years 20 Years 30 Years
Type of Mortgage: Fixed Rate GPM ARM Other
If refinancing, what best describes your reason: Change in Rate/Term
Cash Out
Home Improvement
Debt Consolidation
Change in Loan Type


Personal Information


Borrower Information

Self Employed? Yes No

Co-Borrower Information

Self Employed? Yes No


Combined Assets



Combined Obligations



Information on Current Property


Occupancy Type: Primary Residence Secondary Residence Investment
Ownership: Fee Simple Leasehold

These quotes do not guarantee coverage and
actual premiums may differ from the quotes provided

Richard H Mootz, CFP®CERTIFIED FINANCIAL PLANNER™ professional
6779 Skyway Suite B
Paradise, CA 95969-3900
Phone: 530-877-7007 Fax: 530-762-2141
Check the background of this financial professional on FINRA's BrokerCheck
Check the background of this financial professional on FINRA's BrokerCheck