Adjustable Rate Mortgage

Full name

Email Address

Contact Number

How Did You Hear About LUXMortgage?

Were you referred or currently working with one of our NEXA Loan Officers? If yes, please share their name; if not, simply type NA.

What is your current property purchase situation?

Signed a Purchase Agreement Offer Pending/Found Property Buying in 2-6 Months Researching Options

How will this property be used?

Primary Home Secondary Home Rental Property

What is the purchase price of the new property?

What is your estimated down payment?

What kind of rate do you prefer?

Adjustable Fixed

What year did you purchase your home?

2010-2020 2000-2009 1990-1999 Before 1990

Please estimate the value of the property

What is the remaining 1st mortgage balance?

What is your 1st mortgage interest?

How will this property be used?

Primary Home Secondary Home Rental Property

What kind of rate do you have?

Adjustable Fixed

Do you have a second mortgage?

Yes No

Would you like to borrow additional cash?

Yes No

What is your average monthly income?

What are your average monthly expenses?

Do you currently have a FHA loan?

Yes No

Any late mortgage payments in the last 12 months?

None 1 Late Payment 2+ Late Payments

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Adjustable Rate Mortgage Form