Home Equity Evaluation Home Equity Evaluation Step 1 of 15 6% What type of property do you have?*Single FamilyTownhomeCondominiumMulti Family Home Property zip code* How do you use this property?*Primary HomeSecondary HomeRental Property Estimate the current value of the property*$80,000 or less Do you have a mortgage on this property?* No, it’s paid off One Mortgage Two Mortgages 1st Mortgage balance*0 to 5% 2nd Mortgage balance*0 to 5% Amount you would like to borrow*$1 to $5,000 What are you using this loan for?*Home ImprovementRetirement IncomeDebt ConsolidationInvestment PurposesOther Estimate your credit score*ExcellentGoodFairPoor Have you or your spouse served in the military?*YesNo Have you had a bankruptcy or foreclosure in the last 7 years?*NoBankruptcyForeclosureBoth How long ago was the bankruptcy?*last 12 Months How long ago was the foreclosure?*last 12 Months Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do you currently have accounts with any of the following banks?* Wells Fargo Bank Of America US Bank Citizens Bank USAA Ally Bank None of the above Phone* Email* PhoneThis field is for validation purposes and should be left unchanged. All information is secure and will not be sold.