SLS's Quik-App

Quik-App™

Get the ball rolling by completing our online application!

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Strategeic Lending Services, Inc.
Quik-App™ Online Application

About You

First Name:

Middle Name:

Last Name:

Email:

Phone Day: --   Ext.

Phone Evening: --

Referred By:

Marital Status:

Resident Status:

Date of Birth: //

SSN: --

Dependents: Number: Age(s) (separated by comma):

Present Address:

    Street:

    City:

    State: Zip:

    Ownership: years

Former Address (Needed if residing at present address for less than 2 years):

    Street:

    City:

    State: Zip:

    Ownership: years

Monthly Income:

    Base:

    Bonus:

    Commission:

    Other:

Assets:

    Checking:

    Savings:

    401k:

   Other:


The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations the lender is required to note ethnicity, race, and sex on the basis of visual observation or surname.
I do not wish to furnish this information

Ethnicity:
Race:
	American Indian or Alaska Native
	Asian
	Black or African American
	Native Hawaiian or Other Pacific Islander
	White

Sex:	Female Male

About the property you plan to purchase

Property Usage:
Purpose of Loan:
Purpose of Refinance:
Loan Amount:
Property Value:
Number of Units:
Year Built:
Address of Subject Property:
Street:
City:
State:	Zip:



Please send mail to info@StrategicLendingServices.com with questions or comments about this web site.