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Mortgage Refinance Request
Is your current mortgage doing all it can for you? If not, refinancing can be a GREAT
money-saving opportunity.
  • Lower your monthly mortgage payment with a lower interest rate.
  • Consolidate a 1st and 2nd mortgage into a new single loan.
  • Maximize your equity and conserve your cash with an Interest Only loan.
  • Consolidate an adjustable rate 2nd mortgage or Line of Credit into a new single fixed-rate loan.
  • Take advantage of rising home values and eliminate Mortgage Insurance or PMI.
  • Free up cash for home improvements, tuition, debt consolidation, and more.

My Home Loan will help you find the perfect mortgage - by connecting you with
lenders happy to compete for your business.

    Finding A Loan In Just 3 Simple Steps!

Step 1. Provide the details necessary for your own personalized loan quote.

Step 2. We'll match you with lenders whose products meet your specific needs..

Step 3. Select the lender and offer of your choice. And save!

My Home Loan is VERY serious about your privacy!
  • My Home Loan will do its best to provide you with the best choice of mortgage solutions for the situation you outline for us below - without running a Credit Inquiry of any kind.
  • Once you've reviewed your quotes and offers, YOU choose when to continue your loan application and make more detailed information (including your credit history) available to the lender of your choice.
  • Your personal information (including the form below) is NEVER given or rented to anyone else. The matching of your loan needs with the proper lender is done entirely by us, within our own facilities, so you can rest assured that your sensitive information is always kept secure and confidential.
  • You can ALWAYS call us for more details or helpful advice, we're here to serve YOU: toll free 1(877)LOAN-922
Please tell us about yourself

Your Name (First & Last):





Home Telephone:

Work Telephone:

E-Mail Address:

CONFIRM E-Mail Address:

What's your Income Documentation?

Are you Self Employed?

How's your Credit?

What's your Monthly Gross Income? $
If you're using a Co-Borrower on your loan, please answer the following questions

Is a Co-Borrower applying along with you?

Are they Self Employed?

How's their Credit?

What's their Monthly Gross Income? $
Please tell us about your refinance objectives

Goal of Refinancing:

Are you interested in taking any cash out?

If so, how much?

Please tell us about your current home and mortgage

Property Type:

Current Property Use:

Date you Originally Purchased Home:

Original Home Purchase Price:


Approx Current Home Value:

Which Loan Type do you currently have?
Current 1st Mortgage Balance:
1st Mortgage Loan Term:  
1st Mortgage Interest Rate:
1st Mortgage Monthly Payment:
(Principal & Interest only)
Do you currently have a 2nd Mortgage?
Current 2nd Mortgage Balance:
2nd Mortgage Loan Term:  
2nd Mortgage Interest Rate:
2nd Mortgage Monthly Payment:

Do you currently pay Mortgage Insurance?

Please tell us about the loan you're interested in
Which Loan Program are you interested in?  
Other Information or Comments

Please tell us anything else we should know in order to help you better.

Please click on the SUBMIT button below. You will be contacted within 24 hours. Thank you.

Please click the Submit button ONLY ONCE.
Form processing may take up to one minute.
Thank you!


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