REVERSE MORTGAGE QUALIFICATION

Please fill out the form below. Your information is kept confidential and secure. This information determines your qualification.


(*) Required Fields

Yes, I(We) want to apply now for the Reverse Mortgage Program*.


Choose the Reverse Mortgage Program -

  • HECM Equity Reverse Loan
  • HECM Purchase Reverse Loan
  • HECM ReFi Reverse Loan


The balance owing on our existing Home Loan is* $
The estimated value of our home is* $
Age of Youngest Borrower is*  
Full Name of Youngest Borrower is*  
If only 1 person is applying, please leave age and name of oldest borrower blank.
Age of Oldest Borrower is  
Full Name of Oldest Borrower is  

Street Address of Home is*

City*   State*   Zip Code*

Area Code*   Telephone No.*


eMail Address


When is the best time to contact you?  


Structure of Loan (Check One Below)*

  • Pay off existing loan and would like cash for the remaining eligible equity.
  • Pay off existing loan and would like cash on a monthly basis.
  • I/We have no existing loans(s) / would like all Cash for the eligible equity.
  • I/We have no existing loans(s) / would like cash on a monthly basis.


Counseling

You must talk with an independent Reverse Mortgage Counselor approved by the FHA. It's a government requirement to apply for a reverse mortgage. Please do so after submitting this qualification. Click Here for the List of Counselor Agencies and make an appointment to talk with a Counselor. Counselor must foward us the Completion Certificate before the appraisal can be ordered.


: (Please retype the security text on the left)*