I am a new Mountain Crest Mortgage Client (please complete entire application)

I am a previous Mountain Crest Mortgage client (only complete the information which is different from your last application, please include name & phone numbers).

1st Choice	Program Choose 30 Year Fixed 20 Year Fixed 15 Year Fixed 7/23 Ballon 7/1 ARM 5/1 ARM 3/1 ARM 1/1 ARM FHA ARM FHA Fixed VA Loan Other	Rate Choose 6 6.25 6.5 6.75 7 7.25 7.5 7.75 8 8.25 8.5 8.75 Other	Points Choose No Cost 0 & 0 0 1 2 3 Other
2nd Choice	Program Choose 30 Year Fixed 20 Year Fixed 15 Year Fixed 7/23 Ballon 7/1 ARM 5/1 ARM 3/1 ARM 1/1 ARM FHA ARM FHA Fixed VA Loan Other	Rate Choose 6 6.25 6.5 6.75 7 7.25 7.5 7.75 8 8.25 8.5 8.75 Other	Points Choose No Cost 0 & 0 0 1 2 3 Other

Loan Purpose	Choose Purchase Refinance 1st Mortgage Only Refinance 1st and 2nd Mortgage Refinance to consolidate debts Refinance to take cash out
Amount Desired
Is there a line of credit or 2nd mortgage on this property?	NO Line of Credit Second Mortgage
Where is this property located?
What is the estimated value of this property?
Is this property your primary residence?	YES 2nd home Investment Property

Name
E-mail
Home Phone
Work Phone
Best time to reach you?	Choose Anytime Morning Afternoon Evening

Attention to anyone in particular?
How did you hear about us?

Comments
Any other comments or information:

Due to interest rate volatility and variables beyond our control, Mountain Crest Mortgage assumes no liability for the above service. If you should have any additional questions, please feel free to call us toll free at 888-999-1066.