First Name:

Last Name:

E-mail:

Daytime Phone:

Night Phone:

Fax:

I would refinance if I could get a

30 Year Fixed 1 Month ARM 3 Month ARM 6 Month ARM 15 Year Fixed 1 Year ARM 3 Year ARM 5 Year ARM 7 Year ARM 10 Year ARM any loan program

with a rate of

0 1.00 1.25 1.50 2.00 1.75 2.25 2.50 2.75 3.00 3.25 3.50 3.75 4.00 4.25 4.50 4.75 5.00 5.25 5.50 5.75 6.00 6.25 6.50 6.75 7.00 7.25 7.50 7.75 8.00 8.25 8.50 8.75 percent

or a payment that's at least

0 25.00 50.00 75.00 100.00 125.00 150.00 175.00 200.00 250.00 300.00 400.00 500.00 1000.00 dollars per month

lower than my current payment of:

dollars per month

My current loan balance is:

I think my house is worth about:

The property is in:

AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY