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Property Address
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Property Type
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Estimated Property Value
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Current Mortgage Balance (write 0 if none)
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Borrower’s Age
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Co-Borrower’s Age (write N/A if no co-borrower)
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Do You Currently Occupy the Property as Your Primary Residence?
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Yes
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How Do You Plan to Use the Funds?
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Are You Interested in a Lump Sum, Line of Credit, or Monthly Payments?
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Do You Have a Living Trust or Power of Attorney in Place?
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No
Credit Score Range (if known)
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