Thacker and Loucks


2241 Salient Road Marietta, GA 30064	Telephone 770.951.9906 800.849.7118	Fax Number 770.951.9950 800.849.7123
	www.tlfs.net	eFax — 770.874.5073

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Mortage Loan Information

We offer a variety of mortgage loans. To ensure we get you into the right loan, we feel personalized service and a confidential conversation with you is the best way to get the process started.

To have someone contact you immediately about our competitive mortgage programs, please complete the following information and click the Submit button to send it to a Mortgage Specialist for their personal attention.

Name:

Address:

City: State: Zip:

Email:

Home Phone:

Work Phone:

Best time to call: am pm

Purpose of loan: Refinance Purchase
Construction Equity

Other:

Approximate Amount Needed:

Type of loan preferred: Adjustable Rate Fixed Rate
Interest Only 80/20
Don't know

Terms: 30 year 15 year Don't know

Other:

Current Mortgage Information:

Estimated Current Balance $

Current Rate % Fixed Rate Adjustable Rate

Date last financed (month/year)