Full name

Phone number

Email

State
—Please choose an option—CaliforniaColoradoDelawareDistrict of ColumbiaFloridaIllinoisIndianaMarylandMinnesotaNew JerseyNew YorkNorth CarolinaPennsylvaniaOTHERPuerto RicoSouth CarolinaTennesseeTexasVirginiaWashingtonWest Virginia

What is the best time to call you?
—Please choose an option—00:0001:0002:0003:0004:0005:0006:0007:0008:0009:0010:0011:0012:0013:0014:0015:0016:0017:0018:0019:0020:0021:0022:0023:00

Which product are you interested in?
—Please choose an option—PurchaseRefinanceRenovation

What stage of the loan process are you at?
—Please choose an option—I'm just getting startedI already have my financial calculationsI'm seeing some housesI want to refinance my current mortgageI already have a home contractI need a cash-outI need a pre-approval nowI'm comparing lenders and ratesI want to see how much I can affordJust curious - I'm not buying / refinance

When you need your mortgage loan?
—Please choose an option—Contract ready / In contractNext 1 – 2 monthsNext 3 – 4 monthsNext 5 – 6 meses+6 months

What is your estimated annual income?
—Please choose an option—$1 to $19.999$20.000 to $39.999$40.000 to $59.999$60.000 to $79.999+ $80.000

What is your credit score today?
—Please choose an option—Excellent (+ 720)Good (680 - 719)Fair (620 - 679)Poor (520 - 619)Deficient (Less than 519)

What is the loan amount you need?
—Please choose an option—Less than $150.000$150.001 to $200.000$200.001 to $250.000$251.000 to $350.000+ $350.000

How much down payment could you afford?
—Please choose an option—I need down payment assistance- 3%3% to 5%+ 5%

What is your current citizenship status in United States?
—Please choose an option—US CitizenResidentWork PermitITIN / Tax IDDiplomatic or Student VisaI don't live in the US

What is your current employment situation?
—Please choose an option—I have 2 years or more in the same jobI have less than 2 years in the same jobI have 2 consecutive years in different jobsI have less than 2 consecutive years in different jobsI am not currently workingI am self-employed

How are you currently living?
—Please choose an option—I pay rent - family housingI pay rent - I share an apartmentOwn housingI don’t pay rent and don’t own a home

How did you hear about City Lending?
—Please choose an option—BirdeyeE-mailingEncompassEvent - SummitFacebookFannie MaeGlassdoorGoogleHomeBotIndeedInstagramLinkedinMBAMortgage MagazineNAMBNewspaper Ad - ArticleNMLS ConsumerOptimal BlueRadio SpotReferral - ClientReferral - EmployeeReferral - Loan Officer / LenderReferral - RealtorReferral - Relative or FriendSiMo App - Simple MortgageSimpleNexusSMSTruliaTrustpilotTV SpotTwitterWeb BannerWebsiteWhatsappYouTubeZillow

Which of these situations have you been through in the last two years?
BankruptcyForbearanceForclosureDeportation