31333 West 13 Mile Road
Farmington Hills, MI 48334
Tel: (248) 539-3029
Fax: (248) 579-4553
Email Address: Phone Number: () Best Time to Contact You: AMPM
Purchase price of real estate only
Year:
$
Original finance amount:
 $
Inherited
Gift From:
n/a
Residential
Commercial
Opinion of Value
City Assessor Value:
 $
Homeowner:
 $
Appraised Value:
 $ Actual Anticipated
Have You Ever Refinanced? Yes (complete below)No
Year:
Amount:
 $ Appraised Value: $
Reason:
Year:
Amount:
 $ Appraised Value: $
Reason:
Year:
Amount:
 $ Appraised Value: $
Reason:
Are you or were you in Bankruptcy?
Yes No
Reason:
Delinquent on Existing Mortgage?
# of Days:
Reason:
Are you in Foreclosure?
Yes No
 Reason:
Have you applied anywhere else?
Yes No
Reason:
Additional Comments:
Occupancy
Owner Occupied
2nd Home
Vacant
Rental written lease Rental without written Other
Type
Brick
Wood
Vinyl
Block
Other
Style Ranch Colonial Bungalow Vacant Land Other
Lot Size:
ft xft
 or:
Acres
Home Sq. Ft.
Appearance:
Describe your Credit:
Describe your Home:
Monthly Gross Income
Amounts:
W2:
Inquirer:
$
Co-Inquirer:
 $
Self:
Inquirer:
$
Co-Inquirer:
 $
Pension:
Inquirer:
 $
Co-Inquirer:
 $
SSI:
Inquirer:
 $
Co-Inquirer:
 $
Cash:
Inquirer:
 $
Co-Inquirer:
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Total:
 $
Use of Funds:
Pay off Existing mortgages/leins:
1) $
2) $
3) $
4) $
Pay off Taxes:
$
How much in
additional funds desired?
$
Total Loan Amount
Requested:
$
Use of Funds:
Where will the funds go? (describe):
Home Improvements:
$
What company(s) will perform the work?
This is an obligation-free inquiry. This is pre-screening to see if you qualify to make a formal application for an equity-based mortgage loan. This is not a contract. Only some applicatns will qualify to apply and receive a mortgage. We reserve the right to cancel your inquiry for a mortgage at any time.
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Name:
 Sterling Mortgage and Investment Company
Address:
 31333 W. 13 Mile Road
City, State, Zip:
 , Farmington Hills, MI 48334
Phone Number:
 ext: (248) 539-3029
By checking the box(s) and typing your full name(s) below (this acts as your signature), you state that you have read and agreed to the Privacy Policy Disclosure.
Inquirer's Signature
Date
Co-Inquirer's Signature
Date