Get A Mortgage Rate Quote (Fast Quote)

We want to Pre-Qualify you for a mortgage. Fill out the
following form in order to get a quote from us. We will try
to provide a quote the same business day or within 24
hours of your submission.

Be as complete as possible so we can provide accurate
information and answers to your questions. This is an
opportunity to give you the best quote possible based on
information you provide.

Note: This is not a mortgage application and any quote
provided is not a commitment to extend credit.

You may ignore questions not applicable.
 
Loan Amount & Property Value
*Loan Amount $:
*Property Value (Est):

Contact Information
*Name:
*Email:
*Phone:
Alternate Phone:
Best time to call:
Co-Borrower?:
Mailing Address:
City:
State:
Zip Code:

Refinance Or Purchase Loan (Yes or No)
Refinance (Y/N):
Debt Consolidation (Y/N):
Cash-Out (Y/N):
Lower the Rate (Y/N):
Purchase Loan (Y/N):

Property Information
*Purchase PriceValue $:
Down-Payment $:
Property is picked out:
Sales Contract (Y/N):
1st-Time Buyer (Y/N):
Comments Questions:

Mortgage Type Desired (Yes or No)
30-Yr Fixed-Rate Mtg:
15-Yr Fixed-Rate Mtg:
20-Yr Fixed-Rate Mtg:
Adjustable Rate Mortgage:

Employment/Annual or Monthly Income
Monthly Income $:
Annual Income $:
Self-Employed (Y/N) :

Do You Know Your Credit Score?
Excellant Credit (Y/N) :
Good Credit(Y/N) :
Average Credit (Y/N) :
Bankruptcy Within 10 Yrs (Y/N) :

Property Type & Information (Yes or No)
Single Family (Y/N) :
Condo (Y/N) :
Townhouse (Y/N) :
2-4 Apt Bldg (Y/N) :
Mobile Home (Y/N) :

Questions
Any questions or concerns:

Note: Fields with an * are required

 DENNIS O'DONOGHUE

Illinois Residential Mortgage Licensee 

Residential & Commercial 

Office: 773.774.9040 Ext 121 
Direct: 773. 499.6364
 
 
Forum Mortgage Bancorp is Regulated by: The State of Illinois
Department of Financial and Professional Regulation, Division of Banking,
122 S. Michigan Avenue, Suite 1900, Chicago, IL 60603 
 (312) 793-3000 | www.idfpr.com 
License # MB.0004433

 

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