How did you hear about NEXA Mortgage?

Were you referred or currently working with one of our NEXA Loan Officers? If yes, please share their name; if not, simply type NA.

Zip Code

What type of property are you purchasing?

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Estimate your credit score.

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Is this your first property purchase?

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What is your current property purchase situation?

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How will this property be used?

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What is the purchase price of the new property?

What is your estimated down payment?

What kind of rate do you prefer?

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What is your gross annual household income?

What is your employment status?

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Bankruptcy, short sale, or foreclosure in the last 3 years?

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Can you show proof of income?

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Are you working with a real estate agent?

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Have you been in contact with a NEXA Loan Officer in the last 90 days?

If Yes, what is the name of the NEXA Loan Officer?

What is your full name?

What is your email address?

What is your phone number?