7701 East Kellogg, Ste 460
Wichita,
KS
67207
Phone: 316-260-5656
Tell Us What Type of Loan You Want
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Have you already located a house?
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If this is for a refinance please tell us the number of years you expect to be in your house:
Are you using a realtor?
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Additional Information
Did someone from our office refer you? If so, please enter his or her name in
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Please take a moment to tell us your goal for this loan. For example:
"I'm looking for a 30-year fixed rate with the lowest down possible".
This helps us in determining the best loan program:
This information is being used as a prequalification only and is not an application for credit.
In connection with my prequalification, I authorize Allied Home Mortgage Capital Corporation to
do an in-file credit report if they so choose. By submitting this form, I agree to accept calls
regarding mortgage services offered by AHMCC.
Submitting this form does not obligate me to accept a loan should I be approved, and it does not
constitute a rate lock with Allied Home Mortgage Capital Corporation, (AHMCC).
The information submitted will remain confidential and will only be used by AHMCC to determine
the best loan program for my needs.
I choose not to have my information shared with third parties
or affiliated companies, except as may be required for the purpose it was submitted and where required by
state and federal law. Third parties and affiliated companies may include companies with whom Allied has an
established relationship to provide you with additional services or products.
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