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Pinnacle Mortgage Bankers is a division of Pinnacle Capital Mortgage Corp.
Application Form
Appliciant
First Name
Last Name
H. Phone
W. Phone
Cell
E-mail
Marital Status
-- select --
married
unmarried
separated
Employment
-- select --
employed
unemployed
self employed
retired
Employer Name
Years on Job
y
m
Mthly Income
Address
City
State
--
AK
AL
AR
AZ
BC
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KA
KS
KY
LA
MA
MB
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
ON
OR
PA
PR
RI
SC
SD
TE
TN
TX
UK
UT
VA
VC
VT
WA
WI
WV
WY
Zip
Co-Appliciant
First Name
Last Name
H. Phone
W. Phone
Cell
E-mail
Marital Status
-- select --
married
unmarried
separated
Employment
-- select --
employed
unemployed
self employed
retired
Employer Name
Years on Job
y
m
Mthly Income
Address
City
State
--
AK
AL
AR
AZ
BC
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KA
KS
KY
LA
MA
MB
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
ON
OR
PA
PR
RI
SC
SD
TE
TN
TX
UK
UT
VA
VC
VT
WA
WI
WV
WY
Zip
Loan
property found
yes
no
type of loan
-- select --
Conventional
VA
FHA
USDA
Other
loan purpose
-- select --
Construction
Refinance
Construction-Perm
Other
Purchase
property type
-- select --
Detached
Attached
Condominium
Planned Unit Development
Co-Operative (Co-Op)
High Rise Condo
Manufactured Home
Detached Condo
MH Select
property use
-- select --
Primary Residence
Secondary Residence
Investment Property
refi purpose?
-- select --
cash out
debt consolidation
home improvement
lower my monthly payment
need cash
change my mortgage term
convert to adjustable rate
convert to fixed rate
lower my interest rate
home refinance
home purchase
loan type pref?
-- select --
no preference
home equity loan
home equity line of credit
loan timeframe
-- select --
immediately
1 month
2 months
3 months
6 months
12 months
more than 1 year
credit profile
-- select --
excellent
good
fair
poor
home est value
target rate
%