CharlotteLender.com 6 Minute Loan Request

6 Minute Loan Request Charlotte Lending Group, Inc.
A.	Please fill out as many fields as possible, more information improves the quality of our response.
B.	When finished, click on the send button. You typically will be contacted within hours with quotes and solutions. This is a request for loan options, not an application. You are under no obligation.

Mortgage Type Desired, Amount and Home Value

Loan Purpose:		Loan Amount
Property Type:		Home Value:

Your Information

	Personal Information	Co-borrower Information
Full Name:
Address:		Same Address
City, State, Zip:
Years at current address:
Home Phone:
Work Phone:
E-Mail:
Employment:
Gross Monthly Income:

My/Our (select) credit history is best described as:
1st Mtg Balance
2nd Mtg Balance
I prefer to be contacted at

Other Information/Comments

I / We authorize Lender/Broker to review my information.
I / We shall bear NO cost for this service request.