test Please enable JavaScript in your browser to complete this form. - Step 1 of 14“Easy Mortgage makes it easy to apply online for those seeking to purchase or refinance their mortgage. Start by filling out the application below. You’ll be asked several questions about yourself and any coborrowers you may have, and some questions about either the property you’re interested in purchasing, or about your current mortgage is you’re looking to refinance. Once you’ve submitted the application, you can expect to be contacted by one of our qualified mortgage experts within one business day. Because we value the security of your information, your online home loan application is submitted to us through our 100% secure server. Your privacy is important to us. We will never rent, trade, or sell any of the information you provide to us at any time.”Name *FirstMiddleLastPhone *Email *When is the best time to contact you? *ASAPMorningAfternoonEveningNextSelect Loan Type *PurchaseRefinanceRefinance with Cash BackYou expect to buy within: *30-45 days2-3 months3-6 monthsLongerEstimated Purchase PriceUnder $75,000$75,001 - $150,000$150,001 - $225,000$225,001 - $300,000$375,001 - $450,000$450,001 - $525,000$525,001 - $600,000$600,001 - $675,000$750,001 - $825,000$825,001 - $900,000$900,001 - $975,000$975,001 - $1,050,000$1,050,001 - $1,125,000$1,125,001 - $1,200,000$1,200,001 - $1,275,000$1,350,001 - $1,425,000$1,425,001 - $1,500,000$1,500,000 +Down Payment *0%3%3.5%5%10%20%NextDesired Loan Officer *Tom WunderlinThomas J KruegerJoshua BittnerJeremy BittnerKelly DinyMichael SchroederNo PreferenceNextSelect Property Type *Single Family Multi FamilyCondominiumTownhomeManufacturedWhat is the property use?Primary HomeVacation HomeInvestmentHave You Already Found A Home?YesNoProperty Address (MUST BE LOCATED IN WISCONSIN)Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow long do you plan to live here?Less than 1 year1-2 years3-4 years5-6 years7-8 years9-10 years10-14 years15+ yearsEstimated Loan BalanceWhat is your current interest rate?How many years are remaining on your current mortgage?What is the annual cost of your homeowners insurance? (optional)What are your annual property taxes (optional)?NextBorrower Name *FirstMiddleLastBorrower PhoneBorrower Email *Social Security NumberDate of BirthMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920NextBorrower's Current AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow long have you lived here?Less than 1 year1-2 years3-4 years5-6 years7-8 years8-9 years10-14 years15+ yearsDo you rent or own your current home?RentOwnNextMilitary Service?YesNoMarital StatusMarried (includes registered domestic partners)Unmarried (includes single, divorced widowed)SeparatedNextEmployer *Job Title/Position *When did your employment begin with your current employer?DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920NextAre you self-employed?YesNoWhat is your annual gross income? *$0 - $19,000$20,000-$24,999$25,000-$29,999$30,000-$34,999$35,000-$39,999$40,000-$44,999$45,000-$49,999$50,000-$54,999$55,000-$59,999$60,000-$64,999$65,000-$69,999$70,000-$74,999$75,000-$79,999$80,000-$84,999$85,000-$89,999$90,000-$94,999$95,000-$99,999$100,000-$104,999$105,000-$109,999$110,000-$114,999$115,000-$119,999$120,000-$124,999$125,000-$129,999$130,000-$134,999$135,000-$139,999$140,000-$144,999$145,000-$149,999$150,000+Choice 32Choice 33Gross income is an individual's total pay before taxes or other deductions.NextHow is your credit (optional)?ExcellentVery GoodGoodFairWorking on itNextDo you have a co-borrower?YesNoCo-Borrower Name *FirstMiddleLastCo-Borrower PhoneCo-Borrower Email *Co-Borrower Social Security NumberCo-Borrower Date of BirthMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Co-Borrower's Current AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCo-Borrower: Do you rent or own your current home?RentOwnCo-Borrower Address: How long have you lived here?Less than 1 year1-2 years3-4 years5-6 years7-8 years8-9 years10-14 years15+ yearsCo-Borrower: Military Service?YesNoCo-Borrower: Marital StatusMarried (includes registered domestic partners)Unmarried (includes single, divorced widowed)SeparatedCo-Borrower: Employer *Co-Borrower: Job Title/Position *Co-Borrower: When did your employment begin with your current employer?DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Co-Borrower: Are you self-employed? YesNoCo-Borrower: What is your annual gross income? *$0 - $19,000$20,000-$24,999$25,000-$29,999$30,000-$34,999$35,000-$39,999$40,000-$44,999$45,000-$49,999$50,000-$54,999$55,000-$59,999$60,000-$64,999$65,000-$69,999$70,000-$74,999$75,000-$79,999$80,000-$84,999$85,000-$89,999$90,000-$94,999$95,000-$99,999$100,000-$104,999$105,000-$109,999$110,000-$114,999$115,000-$119,999$120,000-$124,999$125,000-$129,999$130,000-$134,999$135,000-$139,999$140,000-$144,999$145,000-$149,999$150,000+Choice 32Choice 33Gross income is an individual's total pay before taxes or other deductions.Co-Borrower: How is your credit (optional)?ExcellentVery GoodGoodFairWorking on itNextWHAT ELSE WOULD YOU LIKE TO SHARE WITH US? WE WOULD LOVE TO HEAR MORE ABOUT YOUR STORY. (OPTIONAL)NextElectronic Disclosures *I/We DO consent to receive Electronic DisclosuresI/We DO NOT consent to receive Electronic DisclosuresEmail where disclosures should be sent *Co-borrower email where disclosures should be sent *Borrower Authorization to Run Credit *I/We AGREE - By checking here the borrower(s) acknowledge(s) their request for Easy Mortgage, Inc. to run their credit report for the purpose of obtaining a mortgage loanI/We DO NOT Agree for Easy Mortgage, Inc. to run my credit at this time. Please contact me to discuss my application PRIOR to running my creditBorrower Phone - Best number to reach you to discuss your application before running creditCo-Borrower Phone - Best number to reach you to discuss your application before running creditThe Borrower(s) give(s) Easy Mortgage, Inc. permission to contact them even if the Borrower(s) is/are listed on the Do No Call List at the National or State Level until such time as they withdraw permission in writing to Easy Mortgage, Inc. *YesNoParagraph TextNextCommentSubmit
