Loan Request Form

* Denotes a required fields.

Contact Information
Your name:	*
Your address:
City:
County:
ZIP:
Phone:	*
Email:

Property Information

City: *

Property type:

Property purpose:

Estimated price:

Loan details

First mortgage balance:

Second mortgage balance:

Loan amount: *

Loan type:

Loan purpose:

Credit information

Monthly income (gross): *

Monthly debt: *

Credit documentation:

Credit grade:

Credit score:

Miscellaneous information

Are you self employed?

How long have you been in your current position? *

Have you had a bankruptcy or foreclosure in the last seven years?

Are there any outstanding judgments against you?

Your comments:

Your questions:

Where did you hear about fortunelending.com? *

* I acknowledge that all of the information provided above is true, current and accurate. I understand that Fortune Lending Group, LLC is a Connecticut based state licensed lender and that a representative of Fortune Lending Group, LLC may contact me by email or telephone to verify the information I am submitting and/or to obtain further information from me for the purpose of completing an application for mortgage financing.

FORTUNE LENDING GROUP is professionally managed, superbly funded, and dedicated to providing the best rates with the lowest fees in Connecticut. Our principals are extremely well qualified and experienced in real estate acquisition and finance. We provide superior customer service and unmatched responsiveness to client needs.