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The Loan Application

Note: We will not sell or give your information to any other company. This request will be transmitted over a secure connection as described in our Security/Privacy Policy. If you prefer, you may give your information directly to a Madison Financial specialist by calling (608) 358-7532.

Must be legal age to apply.

  

Property State*		-- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Please choose one of the following loans.*
Please select a type of loan Refinance Refinance to consolidate bills Refinance with cash-out Refinance for home improvement Loan to purchase a home Commercial loan Farm loan Other
I heard about Madison Financial through*
Please select how you heard about us Paper Mail Search Engine/Web Ad/Email Phone Call Newspaper/Magazine Ad Radio Ad I am a previous MF customer returning for more services Other
Type of Property* Please select a type of property Single family residence Condominium Commercial Farm Multiple family residence (up to 4 units) Multiple family residence (5 or more units) Mobile home on a rented lot Manufactured home on the land I own Co-op Other
Overall Mortgage History* Please select a mortgage credit history I have never been 30 days late I have been 30 days late I have been 60 days late I have been 90 days or more late I have been in foreclosure I do not currently have a mortgage
Overall Consumer Credit*
Please select one Excellent Good Fair Poor How do I rate my credit?
Name*		First Middle Last
Co-Borrower		First Middle Last
Street Address*		House# Street Name Unit#
City and Zip*
Phone Number*
Home Phone		ext.
(or) Work Phone		ext.
Mobile Phone
E-mail
Preferred Method to Contact You   Any Method Work Phone Home Phone Mobile Phone E-mail Preferred Time to Contact You   Any Time 7 am 8 am 9 am 10 am 11 am 12 pm 1 pm 2 pm 3 pm 4 pm 5 pm 6 pm 7 pm 8 pm 9 pm
Gross Monthly Income		$
Value of Your Home*   $ Loan Amount Requested*   $ How much do you currently owe on your property? $
HOME PURCHASE LOANS Purchase Price*     $ Down Payment*     $
When would you like to complete your loan? Please select time frame for your loan Within this month 2 months More than 2 months
Other Information You May Wish to Provide
(This prequalification request is not a loan application. Your mortgage specialist will complete a loan application for you.)

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