Type of Loan *

Home Refinance

Home Purchase

Cash-out Refinance

Are you a first-time home buyer? *

Yes

Are you currently working with a real estate agent? *

Yes

Purchase Price of the new home *

Please enter the purchase price of your new home.

Estimated Down Payment *

Please enter your estimated down payment.

Are you interested in down payment assistance? *

Yes

Why do you want to refinance? *

How much additional cash would you like to borrow? *

Estimated Home Value *

Please enter your mortgage balance *

Do you have a 2nd mortgage? *

Yes

Home Description *

Single-Family

Multifamily

Condominium

Townhouse

Property Usage *

Primary Residence

Secondary Home

Investment Property

Active or previous U.S. military service? *

Yes

Employment Status

Employed

Self-Employed

Retired

Not Employed

Any bankruptcy in the past 3 years? *

Yes

First Name *

Last Name *

Mobile Phone Number *

By providing your contact information and clicking the "Next" button below, You agree to our Privacy Policy and Communication Consent. You also expressly consent by electronic signature to receive telephonic sales, promotional, marketing and other calls and text messages, including any calls and messages sent by any automated system or other means for the selection or dialing of telephone numbers, or using an artificial or prerecorded voice message when a connection is completed, from Rose Loan empowered by NEXA Mortgage LLC and our partner companies at the telephone number You have provided, even if that telephone number is on a corporate, state, or national do-not-call list or registry. Your consent and agreement to receive such calls or text messages is not a condition of purchasing any property, goods or services from us or any of our partners.

Email Address *

Current Mailing Address *

Unit Number

City *

State *

Zip code *