Cathy Thiel

Pat A. Thiel

480-213-8197

Alliance Home Loans
840 E. McKellips Road
Suite 101
Mesa, AZ 85201

BK-006373

Fast Track Application

What type of Loan are you looking for?
Purchase Refinance
How did you hear about AZ Fairlending?
Referral Source: Friend or Family (Please enter name) Google.com Bankrate.com Zillow.com SEVRAR Realtor (Please give name) Other	Name of referral:
First Name & M.I.
Last Name
Home Phone
Work Phone
Cell Phone
Email
Current Address
City, ST  Zip
Purchase Price or Market Value
Amount of Mortgage Needed?
Current Interest Rate (refinance)
Type of loan requested	Conventional FHA VA Rural Program Other
Estimated Credit Score:
Excellent (740+) Good (680-739) Fair (620-679) Poor (<619)
How would you like to be contacted:
Home Number Cell Number Work Number E-mail
Please add any comments or requests here (any and all info is helpful):

 

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