Lander Form K-CM-GN-TXT-STATE-REV

Are you purchasing or refinancing your home with a reverse mortgage?

What type of property are you purchasing? What type of property are you purchasing?

When do you plan to purchase? When do you plan to purchase?

Where is the property located? Where is the property located?

We'll get local information for you.

What is the estimated purchase price? What is the estimated purchase price?

Just an estimate is fine. You can update the amount later in the process.

How much is your down payment? How much is your down payment?

Just an estimate is fine. You can update the amount later in the process.

Are you currently employed? Are you currently employed?

What is your gross annual household income? What is your gross annual household income?

Can you show proof of income? Can you show proof of income?

Active or previous U.S. military service? Active or previous U.S. military service?

What is your age? What is your age?

Any bankruptcy in the past 3 years? Any bankruptcy in the past 3 years?

Any foreclosure in the past 2 years? Any foreclosure in the past 2 years?

Number of late mortgage payments in the last 12 months? Number of late mortgage payments in the last 12 months?

Are you working with a real estate agent? Are you working with a real estate agent?

How would you rate your credit? How would you rate your credit?

Making a selection will automatically advance you to the next step in the mortgage quote progress.

Please enter your name below Please enter your name below

You can always add a co-borrower or edit this entry later.

First Name

Last Name

What is your e-mail address? What is your e-mail address?

We adhere to a strict privacy policy and will never sell your information.

Email Address

What is your phone number? What is your phone number?

We adhere to a strict privacy policy and will never sell your information.

Phone Number**

**By entering my phone number above, I agree to receive recurring automated text messages at the phone number provided. Consent is not a condition to purchase. Msg & data rates may apply. Msg frequency varies.

How did you hear about us? How did you hear about us?

Tell us how you found New American Funding.

Name of Referrer

What is your address? What is your address?

What's your home's value? What's your home's value?

Just an estimate is fine. You can update the amount later in the process.

How much do you owe? How much do you owe?

Just an estimate is fine. You can update the amount later in the process.

What is the current age of the homeowner on title? What is the current age of the homeowner on title?

Active or previous U.S. military service? Active or previous U.S. military service?

Enter your name belowPlease enter your name below Enter your name below

You can always add a co-borrower or edit this entry later.

First Name

Last Name

Please enter your contact info Contact Info

We adhere to a strict privacy policy and will never sell your information.

Email Address

Phone Number**

How did you hear about us? How did you hear about us?

Tell us how you found New American Funding.

Name of Referrer

By clicking "Submit", I agree by electronic signature to:

Receive disclosures and communications about my loan inquiry in electronic form (I confirm that I have a working computer system and internet website browser to view this webpage); AND
I authorize New American Funding and its network of partners to contact me regarding a mortgage loan, real estate and/or home-related products or services that may be of interest to me at the telephone number(s) listed above using an automated dialing system, pre-recorded or artificial voice, and/or SMS messaging even if the telephone number I provided is a cellular phone or other service for which I may be charged. I understand that I am not required to provide this consent in order to obtain goods and services from NAF. I agree that NAF and its partners may contact me by mail, telephone or email in connection with my request even if my telephone number or email address appears on a NAF internal Do Not Call/Do Not Email List, a State or National Do Not Call Registry, or any other Do Not Contact List/Do Not Email List; AND
Our Privacy Policy, Terms of Use, and Electronic Consent Agreement.

Your privacy is protected. We never sell your information. NMLS ID# 6606.

Are you purchasing or refinancing your home with a reverse mortgage?

Where is the property located? Where is the property located?

What is the estimated purchase price? What is the estimated purchase price?

How much is your down payment? How much is your down payment?

Can you show proof of income? Can you show proof of income?

Active or previous U.S. military service? Active or previous U.S. military service?

Any bankruptcy in the past 3 years? Any bankruptcy in the past 3 years?

Any foreclosure in the past 2 years? Any foreclosure in the past 2 years?

Are you working with a real estate agent? Are you working with a real estate agent?

How would you rate your credit? How would you rate your credit?

Please enter your name below Please enter your name below

What is your e-mail address? What is your e-mail address?

How did you hear about us? How did you hear about us?

What is your address? What is your address?

What's your home's value? What's your home's value?

How much do you owe? How much do you owe?

Active or previous U.S. military service? Active or previous U.S. military service?

Enter your name belowPlease enter your name below Enter your name below

Please enter your contact info Contact Info

How did you hear about us? How did you hear about us?

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