purchase

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Please take a moment to complete the form below so we can better understand your needs and help identify mortgage options that best fit your goals.

All information provided is kept confidential and used solely for loan evaluation purposes, in accordance with our Privacy Policy.

Total purchase amount(Required)

Down payment (%)(Required)

In Percentage

Estimated credit score

Household Income(Required)

Combined income allowed if joint purchaser

Where do you intend to buy?

City

State(Required)

ZIP Code

Which stage are you at right now?

Looking / want to get pre-approved

Offer made / not under contract yet

Under contract / shopping for rates

What’s your preferred loan type?

Fixed-rate mortgage

Adjustable-rate mortgage

Interest only

Not sure yet

We never disclose your contact information to any third party

Name

Email(Required)

Phone Number(Required)

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First Choice

Second Choice

Third Choice

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First Choice

Second Choice

Third Choice

Eureka Home Mortgage is a New York Registered Mortgage Broker (NMLS 2624165).

Loans are arranged through 3rd party lenders.