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Refinance Inquiry
Our refinance pre-qualification is an easy and fast way to request a mortgage. Please provide the following information.
Personal Information
*First Name:
*Last Name:
Referral Name:
Home Phone:
( ) -
Cell Phone:
( ) -
Work Phone:
( ) - Ext.
Marital Status:
Are you a U.S. citizen?
Date of Birth:
*Social Security or Tax ID #:
- -
Number of Dependents:
Dependent Age(s):
Separate ages by commas.
Loan Officer:
Current Address
Street Address:
Years at this Address:
 Years     Months
Rent or Own:
Previous Address
Street Address:
Years at this Address:
 Years     Months
Rent or Own:
Subject Property
Purpose of Loan:
Please Specify  
Property Usage:
Number of Units:
Year Built:
*Subject Property Address:
We only accept applications for the states listed.
Monthly Income
Submitting income from alimony, child support, or separate maintenance income is optional if you do not want to use that income for qualification purposes.
*Base Income:
*Other Income:
Retirement Funds:
Mutual Funds:
Demographic Information
The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "ethnicity" and one or more designations for "Race." The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname.The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.
Ethnicity - Check one or more:

For example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.

Race - Check one or more:
Enter name of enrolled or principal tribe:

For example: Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.

For example: Fijian, Tongan, and so on.


* Privacy Policy:
Internet Privacy Policy
Do you have a co-borrower?  
* = Required



First Home Mortgage Corporation
5355 Nottingham Drive, Suite 130, Baltimore, MD  21236
Office:  (410) 933-3100
Copyright © 2018 This is not a commitment to lend. Terms and conditions of programs, products and services are subject to change. All loans are subject to credit approval and property appraisal. Certain restrictions may apply on all programs.

First Home Mortgage Corporation of America, First Home Mortgage Services, Maryland First Home Mortgage Company, and First Home Mortgage Company of Maryland are d/b/a's of First Home Mortgage Corporation. First Home Mortgage Corporation is licensed in Connecticut, Delaware, District of Columbia, Florida, Georgia Residential Mortgage Licensee (Lic. #23135), Indiana, Kentucky, Maine, Maryland, Massachusetts Mortgage Lender and Broker (Lic. #MC71603), Michigan, Licensed by the New Hampshire Banking Department, Licensed by the New Jersey Department of Banking and Insurance, North Carolina, Pennsylvania, Rhode Island Licensed Lender and Broker, South Carolina, Tennessee, Virginia, West Virginia. Equal Housing Lender. First Home Mortgage Corporation NMLS ID #71603
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