(435) 773-7758 NMLS #1660792

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Taylor Tripp

Taylor Tripp Loan Officer/LOA

NMLS #1871833

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Contact:

(801) 372‑7515
(435) 558‑6134
[email protected]
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What type of property are you purchasing?*
- Single Family
- Townhome
- Condominium
- Multi Family Home

How will this property be used?*
- Primary Home
- Secondary Home
- Rental Property

In what zip code will the property be located? (Zip Code)*
Please enter the Zip Code

Have you already found your new home?*
- Yes
- No

Are you currently working with a real estate agent?*
- Yes
- No

When do you plan to buy a home?*
- Already under contract
- Immediately- I'm making an offer
- I'm shopping & am considering a few options
- Within next couple months
- Not sure- I want to know what I can afford

When do you plan to buy a home?*
- Already under contract
- Immediately- I'm making an offer
- I'm shopping & am considering a few options
- Within next couple months

Do you already have a current rate quote?*
- Yes
- No

What is the estimated purchase price?*

How much are you putting down as a down payment?*

Do You Currently Have Accounts With Any Of The Following Banks?*
- Wells Fargo
- Bank of America
- Citibank, N.A.
- US Bank
- Chase
- USAA
- Ally Bank
- None of the above

Is this your first time buying a home?*
- Yes
- No

Will you have a co-borrower?*
- Yes
- No

What is your combined annual household income?

What is your annual income?

Are you currently employed?*
- Full-time
- Part-time
- Self-employed
- No, I'm not employed

Estimate your credit score*
- Excellent
- Good
- Fair
- Poor

Have you or your spouse served in the military?*
- Yes
- No

Have you had a bankruptcy or foreclosure in the last 7 years?*
- No
- Bankruptcy
- Foreclosure
- Both

How long ago was the bankruptcy?*

How long ago was the foreclosure?*

Address*
Street Address City State ZIP Code

Name*
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Email*

Phone*
Phone
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Intercap Lending

NMLS #1660792

Contact Us

AJ Molina

1085 South Bluff St

St. George, UT 84770

Cell: (435) 773-7758

[email protected]

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