Sumner Home Mortgage is approved for lending in

Alaska, Arizona, California, Idaho, Montana, Oregon, and Washington.

Help us determine the best product for your individual home financing needs before you begin the application process by filling out this short form. A representative at Sumner Home Mortgage will get back to you as soon as possible at your desired time.

Please Note: This is not an application for a loan.
If you wish to fill out our online loan application, please visit our forms section.

Salutation:	Mr. Mrs. Ms. Dr. None
Full Name:
Address:
City:
State:	Zip:
Home Phone:
Work Phone:
Fax:
E-mail:

Select Desired Loan Officer:

Doesn't Matter Sam Suznevich Tom Boltz Ryan Hills Mark Schepker Monica Poe

Indicate the best time and place to be contacted:
Call me at work	Best time to call:
Call me at home	Best time to call:
E-mail me
Are you a current or former Sumner Home Mortgage customer? Yes No
How did you find us?  Browsing The Web Radio Ad Yellow Pages Direct Mailer Other Word of Mouth Friend

The following information will assist Sumner Home Mortgage's representative to more quickly recommend the mortgage product that best fits your financial situation.
When do you anticipate closing on your loan?	30 days or less 1-3 months 4-6 months 6 months or more
I am interested in:	Purchasing a home Refinance existing mortgage A home equity loan Other
This loan is for:	Primary residence Vacation or investment property
Are you relocating?	Yes No
Gross Annual Income:	$
Monthly Debt: (Do not include your current mortgage or rental payment)	$

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