express mortgage, express, mortgage, bill consolidation, low rates, tax deductible, mortgage lenders, rates, interest, home, rate, loans, refinance, loan
31333 West 13 Mile Road
Farmington Hills, MI 48334
Tel: (800) CASH-JET
Fax: (248) 539-0911
For FREE information check the appropriate box below, and complete the form. IT'S THAT EASY! You're on your way to CASH IN A FLASH!

For Faster Service Call (800) CASH-JET (That's 800-2274-538)
Choose one of the following options:
EXPRESS, YOU CAN SAY YES!
Process immediately! I intend to borrow: $
Call me at this number with more information:
Main Purpose of Loan:
Coupon Code (if any; look for code above coupon):
Name & relation of any other person(s)
who are on the title of the home:
Your Full Name:
Date of Birth:
Social Security:
(xxx-xx-xxxx)
E-mail Address:
Spouses Full Name:
Date of Birth:
Social Security:
E-mail Address:
Your Current Employer:
Employed
Self-Employed
Retired
Occupation:
Years at:
Gross Mo. Inc.: $
Previous Employer:
Years at:
Other Income: $
Spouses Current Employer:
Employed
Self-Employed
Retired
Spouses Occupation:
Gross Mo. Inc.: $
Spouses Previous Employer:
Years at:
Other Income: $
Applicants' Daytime Telephone:
 ext.
Best Time to Call:
A.M.
P.M.
Spouses' Daytime Telephone:
 ext.
Best Time to Call:
A.M.
P.M.
Evening Telephone:
 ext.
Best Time to Call:
A.M.
P.M.
Cell Phone/Pager Number:
Owner Occupied Property Address:
City:
State:
Zip:
Interior: Excellent Good Fair Poor

Exterior: Excellent Good Fair Poor
Crawl Wood City LA FT
Base Sided Rural LA ACC
Slab Brick Garage Attached?
Well Septic Paved Unpaved
Yr Purchased:
Purchase Price:
 $
Curr. Bal. Due:
$
Current Value:
 $
1st Lein Mort. Co:
1st Lein:
$
1st Lein Rate:
 %
Total Owed:
 $
Taxes Due:
 $
My Credit is:
 Excellent Good
Fair Poor
2nd Lein Mort. Co:
2nd Lein:
 $
2nd Lein Rate:
 %
2nd Lein Reason:
 Home Equity BC Line of Cr. Home Improve. IRS Divorce Mechanics
Rental/Second Home Property Address:
City:
State:
Zip:
Yr Purchased:
Purchase Price:
 $
Curr. Bal. Due:
$
Current Value:
 $
1st Lein Mort. Co:
1st Lein:
$
1st Lein Rate:
 %
Total Owed:
 $
Taxes Due:
 $
Income/Rent:
 $
2nd Lein Mort. Co:
2nd Lein:
 $
2nd Lein Rate:
 %
2nd Lein Reason:
 Home Equity BC Line of Cr. Home Improve. IRS Divorce Mechanics
Explanation of credit status:
I Agree:
I Disagree:
At Express Mortgage, we always care about your privacy and security when dealing with our company. Please select one of the following links for more information on these important privacy topics: Web Privacy Policy, Web Disclosure, Web Acknowledgements, and Opt-Out forms.