EmailMe Form - OGDEN MORTGAGE GROUP

Name *

First Last

Email *

Phone *

### - ### - ####

Are you a United States Citizen? *

Yes

No

Permanent Resident

What Amount of Funding ($) are you requesting? *

$ Dollars . Cents

Funding Limits are $10,000.00 - $400,000.00

Purpose of Loan? *

Do you have a Credit Score of 650 or higher? *

Yes

No

Do you have 3 or more active trade lines on your credit profile? *

Yes

No

Do you have less than 6 hard inquires in the last 6 months? *

Yes

No

Are your Credit Card Balances 60% or Less? *

Yes

No

Have you had any late payments or other derogatory reporting on your credit profile in the last 24 months? *

Yes

No

Have you ever filed Bankruptcy? *

Yes

No

If you have filed for Bankruptcy has it been discharged for 2 years or more? *

Yes

No

N/A

Do you currently have any fraud alerts on your credit report? *

Yes

No

Are you Employed or Self Employed? *

Full Time Employee

Self-Employed Only

Employed and also Own A Business

I am Retired

If employed with W-2 or 1099, are you earning a minimum of $27,000 per year on your current job and working there for the last 6 months? *

Yes

No

N/A

If self-employed have you been in business 2 years or more and grossed $50,000 with an AGI of $27,000 or more each year? *

Yes

No

N/A

Are you currently on any paid leave of absence with your employer? *

Yes

No

{If Retired or receiving Social Security}

Do you have an Awards Letter? *

Yes

No

N/A

{So Tell Us...}

How did you hear about us *

Facebook

Google

Referral

Other

Referral Company Name

Referral Name

First Last