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Refinance Your Existing Mortgage

Thank you for choosing us to provide for your funding needs. We respect your choice to refinance your mortgage with us. Please use the following form to begin the prequalification process. Once submitted, we will review your information and contact you shortly. ALL FIELDS IN BOLD ARE REQUIRED. First Name Last Name Address   City State Zip Code Email Day phone Evening phone 1. What type of property are you refinancing? please select one single family unit 1 to 4 units 4 or more units Other Please describe your property if you selected OTHER: 2. What type of loan do you currently have? please select one fixed 30 yr fixed 15 yr fixed/adj. 5 yr other Please describe your loan type if you selected OTHER: 3. What is your current payment? 4. What is your current interest rate? 5. How much do you currently owe on your home? 6. What is the estimated value of your home? 7. Do you want to pay off any debts? N/A Yes No If yes, how much? 8. Do you want any cash back? N/A Yes No 9. How many years do you plan on keeping this home? 10. Will you occupy the property as your primary residence? Yes No 11. Will you be documenting your income? Yes No 12. How did you hear about us / who referred you? 13. Please enter any additional comments you might have here:

Dave and Jennifer D'Onofrio
Agents with Diversified Capital Funding
5199 Johnson Drive, Suite 100
Pleasanton, CA 94588
Office: 925-426-8383 ext: 31
daved@divcap.net
jennifer@diversifiedcap.com