House Charlotte Downpayment Assistance Program
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Fairway Independent Mortgage
Ph: 704-749-3690 | Fax: 704-749-3687
House Charlotte and Home Loan Inquiry

By completing this form you are asking a licensed mortgage professional to contact you about buying a home.
Applicant Information
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Co-Applicant Information
First Name:
Last Name:
Contact Information
Daytime Phone:
Evening Phone:
Email:
Financial Information
Loan Type:
Loan Amount: (USD)
Property Information
Property Type:
Occupancy:
Purchase Price: (USD)
Appraised Value: (USD)
Mortgage Balance: (USD if applicable)
Other Information
Comments:

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