Todd Rodocker
First Class Home Mortgage | NMLS# 1843
Apply for a Reverse
WHAT IS YOUR AGE?
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Under 55
55-61
62-69
70-79
80+
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IS THIS PROPERTY YOUR PRIMARY RESIDENCE?
Yes
No
Planning to purchase a primary residence
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WHAT TYPE OF PROPERTY DO YOU OWN (OR PLAN TO PURCHASE)?
Single-Family Home
Condo
Townhome
Manufactured Home
Multi-Unit (2-4 Units)
Other
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ESTIMATED HOME VALUE
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Under $250,000
$250,000 - $400,000
$400,000 - $600,000
$600,000 - $800,000
$800,000 - $1 Million
Over $1 Million
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APPROXIMATELY HOW MUCH DO YOU CURRENTLY OWE ON YOUR MORTGAGE?
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Paid Off
Under $50,000
$50,000 - $100,000
$100,000 - $200,000
$200,000+
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WHAT ARE YOU HOPING TO ACCOMPLISH?
*
Eliminate my monthly mortgage payment
Access cash from my home's equity
Supplement retirement income
Pay off debt
Cover medical expenses
Purchase a new home
Home improvements
Other
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WHEN ARE YOU LOOKING TO MOVE FORWARD?
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Immediately
Within 30 Days
1-3 Months
3-6 Months
Just Researching
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DO YOU CURRENTLY HAVE A MORTGAGE?
Yes
No
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IS THERE ANOTHER BORROWER ON THE PROPERTY?
Yes
No
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TELL US ABOUT YOURSELF
Preferred Contact Method
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Phone
Text
Email
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