Lakes and Hills Mortgage Company - Marble Falls, Texas

Short Application

Our short application is an easy and fast way to request mortgage information. Please provide the following information.

PERSONAL INFORMATION
* First Name:
* Last Name:
* E-Mail:		(Must be a valid e-mail address)
* Home Phone:
* Cell Phone:
Work Phone:
Social Security Number:		This will help us initiate the process and will be kept in strict confidence. You may submit this form without it if you do not wish to provide this over the internet.
SUBJECT PROPERTY
* Purpose of Loan:		What the money from the loan is going to be used for.
	If "Other" Please Specify:
Property Usage:
* Loan Amount:	$
* Present Value/Purchase Price:	$	If this is a Refi loan, enter the present value of the subject property. If this is a purchase loan, enter the purchase price of the subject property.
Subject Property Address:		The street address of the property for which you are obtaining the loan.
City:
State:
CO-BORROWER
Do you have a co-borrower?	Yes No

* = Required

Lakes and Hills Mortgage Co.
Judy Olds, Mortgage Loan Originator | Mel Alexander, Mortgage Loan Originator | Laura Kardow, Mortgage Loan Originator
A. Charlie Keiser, III Entity Administrator
704-708 2nd. Street, Marble Falls,TX,78654
(830) 693-4763 office | (830)798-4037cell | (830) 693-1214 fax