Red Letter Mortgage -- Debt Consolidation

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The greatest good you can do for another is not just to share your riches but to reveal to him his own.
~ Benjamin Disraeli

Mortgage One Financial Services - Debt Consolidation Application

Debt Consolidation can
	Help avoid filing bankruptcy
	Eliminate creditor harassment
	Lower debt payments up to 50%
	Provide one monthly payment
The most important benefit of debt consolidation is that it can offer a fresh start on the road to more healthy personal finances. For a free consultation, please fill out the short form below listing your current monthly payments and a Red Letter Mortgage Representative will be contacting you within one business day.

Personal Information

First Name:

Please Enter Your First Name

Last Name:

Please Enter Your Last Name

Is there a co-borrower?

Yes No

Select "yes" if there will be a Co-Borrower

Co-Borrower First Name:

Please Enter Co-Borrower First Name

Co-Borrower Last Name:

Please Enter Co-Borrower Last Name

Current Street Address

Your current mailing address.

Current City/State/Zip

Your current City State and Zip

May we call you or would you prefer e-mail?

Phone E-mail

What form of communication do you prefer

Phone Number

ex: 123-456-7890

E-mail Address

ex: name@email.com

How did you hear about?

Loan Information

Purpose of Loan

What type of Loan do you think you want

Amount of Down Payment

ex: 5,000 if none leave "0"

Amount of Liquid Assets

ex: 5,000 if none leave "0"

How Long Have you been at your current job?

years months

ex: 7 years 6 months

Are you self-employed?

Yes No

Select "yes" if you are self-employeed

How is your Credit?

Have you filed for bankruptcy in the last 7 years?

Yes No

select "yes" if you have filed for bankruptcy
in the last 7 years

If yes, discharge Date

ex: 10-15-1998

Credit Information

Would you like us to better qualify you by pulling your credit report?

Yes No

By selecting "yes" you are authorizing Red Letter Mortgage to obtain a copy of your credit report

Borrower's Social Security Number

ex: 123-65-4987

Co-Borrower's Social Security Number

ex: 123-65-4987

Current Debt Information

Creditor

Type of Debt

Current Balance

Min. Mon. Payment