Refinance Complete Mortgage Search application offers an application process with NO UPFRONT COSTS and NO OBLIGATIONS. (note: all fields are required) Please select purpose of your loan: -- Select -- Refinance - Rate/Term Refinance - Cash-out Home Improvement Debt Consolodation Don't know Name of Borrower: Name of Co-Borrower: Marital status: -- Select -- Married Single Sepertated Email: How would you like to be contacted: -- Select -- Home Phone Work Phone Cell Phone Phone: ( ) Best time to contact you: -- Select -- Morning Afternoon Evening Any Time How is your credit rating: -- Select -- Excellent Good Average Poor Don't Know Are you self employed: Yes No Total Monthly Household Gross Income: .00 Verifiable Cash Assets:*(401K, IRA, savings, etc...) .00 Current Monthly Housing Payment: .00 What type of property are you Re-financing? -- Select -- Single Family Second Home Investment Property Other Amount you currently owe: .00 Estimate the value of your property: .00 Amount for new loan: .00 Current Address: City: State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zipcode: Time at Address: -- Select -- 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year More Than 10 Years What type of loan product are you interested in: -- Select -- 30 Year Fixed 20 Year Fixed 15 Year Fixed 1 Year ARM 3 Year ARM 5 Year ARM 7 Year ARM Ballon Other How did you hear about us: -- Select -- WDFN Radio WRIF Radio WXYT Radio WXDX Radio Cable-TV Internet Newspaper Magazine Yellow Pages Referred Comments:

Purchase • Refinance • Privacy Statement

Copyright© 2002 Complete Mortgage Solutions, Inc. 27908 Orchard Lake Road • Suite A • Farmington Hills, MI 48334 Office 248 539.4655 ext: 15 Fax 248 539.0179