Please fill out the form completely. The more information you give us, the better we will be able to respond to your individual requirements. At minimum, please supply us with a Telephone Number, FAX, or Email information so we can contact you in a timely fashion. All information is considered confidential and will not be released to anyone without your written permission.

Personal Information
Full Name:
Street Address:
City, State, and Zip Code:
Home Phone:
Work Phone:
Email:
Fax:
What type of loan are you interested in?
What property is this for?
Property Type
Mortgage Preference
How did you hear about AC Star Funding?
List any special concerns, questions, suggestions, or comments below
Would you like to receive E-mail periodically regarding money saving offers?
Yes
No
If you do not wish to proceed to the Mortgage/Loan Information Section, click SEND here -


Specific Mortgage/Loan Information
Purchase
Purchase Price:
$
Loan Amount:
$
Refinancing
What is the market value of your home?
$
How much do you owe? (please include first and second liens)
$
What is your current house payment? (principal and interest only)
$
What are your annual taxes?
$
What is your annual hazard insurance?
$
What are your monthly homeowners dues?
$
Do you want to cash out?
Yes  No
If yes, how much?
$
Do you want to finance prepaid expenses and closing costs?
Yes  No
Yearly Income:
$
Social Security Number:
  
Co-Applicant Information - If Applicable
Full Name:
Street Address:
City, State, and Zip Code:
Home Phone:
Work Phone:
Co-Applicant Yearly Income:
Co-Applicant Social Security Number:
Is Co-Applicant Self-Employed? Yes  No
I have completed the application. Please have a Loan Representative contact me.


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