Looking To Securely Get The Process Started?

Fill out the fields below which pertain to the process in which you and I will be working on together. Be sure to add any information which you believe will help me price out the best program for you.

This form is SECURE and the information provided is NEVER shared, disbursed, sold, or handled by third parties.

Borrower General Information

Legal Name

First Name

Last Name

Phone

(###)

###

####

Are you Active Duty Military OR a Veteran?

What Branch of Military?

If active duty OR retired/discharged veteran

What are you looking to do?

Date of Birth

YYYY

Social Security Number

Current Primary Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

When did you purchase your current primary home?

YYYY

Previous Primary Address

If current primary occupancy is LESS than two years.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Employment and Income

Are Your Self-Employed?

Yes

Name of Employer

Position/Title

Start Date

When did you start working at your current place of employment?

YYYY

Income Type

How are you compensated?

Frequency of Compensation

How often are you compensated?

What is your ANNUAL income?

Gross amount, BEFORE taxes.

Address of Employer

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Employer Phone Number

Preferably the number to HR/Payroll for income verification.

(###)

###

####

Additional Income

Social Security Income

Pension/Retirement Income

VA Disability Income

401k/Annuity Monthly Draw

Refinance Information

Subject Property Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Estimated Property Value

Current Lender

Remaining Mortgage Loan Balance

Purpose of Refinance

Why are we doing this?

Purchase Information

Property Address Being Purchased

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Sale Price

Estimated Value

Down Payment

Realtors Name

First Name

Last Name

Realtors Phone Number

(###)

###

####

Realtors Email Address

Earnest Money Deposit Paid

Properties Intended Use

New Primary Residence

Secondary/Vacation Residence

Investment Property

Have You Signed a Purchase Agreement?

Yes, Offer Accepted

Plans for Current Primary Residence

Agreed Seller Concessions Amount

These fields are required to submit your application online. If you do not wish to provide the requested information via the online application, then please contact Henry at (313) 641-2688 to submit your application.

By selecting "save and continue", you are authorizing Rapid Home Loans, LLC (NMLS 2336339) and Rocket Mortgage, LLC (NMLS 3030) to deliver or cause to be delivered to you (including through a broker or licensed loan officer) to enter your provided information into a uniform residential loan application (1003) which includes pulling your credit directly related to the program which you are applying for. In the process of submitting this inquiry form, you are not guaranteed to be approved for a mortgage loan. This submission allows Henry and the brokers through Rocket Mortgage TPO Pro (formerly QMLS) to apply you for a mortgage loan based on the qualifying information you have provided. Additional documentation, supporting the information provided, will be required to be considered as a qualified client for a mortgage loan.

Rapid Home Loans LLC is a direct partner of Rocket Mortgage.

In order to confirm your phone number, a text message (SMS) will be sent to you from Henry Hider and Rapid Home Loans LLC. For security purposes, you will not be able to complete your registration without this confirmation. If your phone service is not SMS-capable, you will be able to choose an automated voice call or email correspondence. Data, messaging, or other similar charges from your phone service provider may apply.