Renovating a Home? Let's get started! Complete in Minutes Fast, Easy, No Account Sign-Up & Fully Secure Step 1 of 10 10% Property DetailsHow is This Property Currently Being Used?*Select OnePrimarySecondaryInvestmentWhat Type of Property are You Refinancing?*Select OneSingle FamilyTownhomeCondominiumMulti FamilyManufactured HomeWhat is the Estimated Value of Property Being Refinanced?What is the Current Mortgage Loan Program?*Select OneNative AmericanFHAVAUSDAConventionalNot sure, Compare OptionsWhat is the Current Loan Balance?What is the Cost of the Renovation?What State will the Property Be Located?*Select OneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Borrower DetailsName* First Last Current Address:* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920SSN Social Security # is required to obtain a credit report and provide the loan pre-approval. If you do not want to provide your Social Security # online, a loan officer will contact you to obtain and go over your mortgage options. This is a Soft InquiryEstimated Credit Score*Select OneExcellent (720+)Good (680-719)Average (620-679)Fair (580-619)Poor (<580)Not SureWhat Tribe Are You a Member of?* Are you a Veteran?*Select OneYesNo Borrower Income/ AssetsIncome Type*Select OneW-2 EmployeeSelf EmployedRetired / DisabilityEmployer / Company* Monthly Income(W2 Employee: Include Gross Salary, Overtime, Commissions, Etc.) - (Self Employed: Net After Expenses) - (Retired: Pension, SSI, Disability Awards)Total Assets(Checking, Savings, & Liquidable Retirement Accounts) Borrower DebtsDo You Pay Alimony / Child Support Amount?*Select OneYesNoAlimony / Child Support Amount Breakout - (Amount, Number of Children, Ages)* Do You Currently Own a Home?*Select OneYesNoHave You had a Bankruptcy or Foreclosure in the Last 7 Years?*Select OneYesNo Spouse or CoBorrowerAre You Married?*Select OneYesNo“Primary Residence” requires spouse information on all FHA, VA, USDA, HUD 184 Loans in Community Property States – AZ, CA, ID, LA, NV, NM, TX, WA, WI? - Please select Yes for co-borrower if applicable.Is Your Spouse Going to be or Do You Have a Coborrower?*Select OneYesNo Spouse/Co-Borrower InformationName* First Last Different Home Address?*Select OneYesNoAddress* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920SSN Social Security # is required to obtain a credit report and provide the loan pre-approval. If you do not want to provide your Social Security # online, a loan officer will contact you to obtain and go over your mortgage options. This is a Soft Inquiry.Estimated Credit Score*Select OneExcellent (720+)Good (680-719)Average (620-679)Fair (580-619)Poor (<580)Not SureWhat Tribe Are you a Member of?* Are You a Veteran?*Select OneYesNo Spouse/Co-Borrower Income / AssetsIncome Type*Select OneW-2 EmployeeSelf EmployedRetired / DisabilityEmployer / Company* Monthly Income(W2 Employee: Include Gross Salary, Overtime, Commissions, Etc.) - (Self Employed: Net After Expenses) - (Retired: Pension, SSI, Disability Awards)Total Assets(Checking, Savings, & Liquidable Retirement Accounts) Spouse/Co-Borrower DebtsDo You Pay Alimony / Child Support Amount?*Select OneYesNoAlimony / Child Support Amount Breakout - (Amount, Number of Children, Ages)* Do You Currently Own a Home?*Select OneYesNoHave you had a Bankruptcy or Foreclosure in the Last 7 Years?*Select OneYesNo How Did You Hear About Us?*Select OneWeb SearchFamily/FriendRealtor/BrokerSocial MediaWebSearch*Select OneGoogleYahooBingFamily/Friend Realtor InformationRealtor/Broker Name* Realtor/Broker Number* Authorization / SubmissionCredit Authorization*Select OneYesNoSpouse or Coborrower Credit Authorization*Select OneYesNoContact Consent* I Agree to be ContactedCapital Home Mortgage uses multiple systems to efficiently communicate important information to our customers. By clicking "SUBMIT" below, you are also providing express written consent to contact you, using the information you provided above and/or the information you provide in your initial application, which may also be noted above, including phone (land, mobile, or VoIP), email address, and/or mailing address, to include contacting you through automated means, such as 1) autodialing, text, and pre-recorded messaging via telephone, 2) mobile device, including SMS and MMS, and/or 3) email, even if you are on a corporate, state, or national Do Not Call Registry. Δ
