Call 407.875.0600
Toll Free 1.800.394.0602

Please submit the following information so that we may offer you a free consultation. A * indicates a required field.
* First Name
* Last Name
Property To Be Financed
Street address
City
State
Zip
* Work/Cell phone
Home phone
Fax
* Email
The property will be a:
Requested Loan Information
Sales price of the property $
Requested loan amount $
New construction? YES NO
Proposed closing date
Amount paid in earnest money $
Will you escrow taxes & insurance YES NO
Estimated annual real estate taxes $
Estimated annual cost of homeowner's insurance $
Preferred loan program
Preferred loan term
Lowest middle credit score (if known)
Additional comments  
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Applying for a mortgage for your property purchase is one of the most important decisions associated with your purchase that you will make. We encourage you to 'shop' for the most knowledgeable consultant offering the most beneficial and competitive loan options. The mortgage company's good reputation is also of utmost importance.

 Begin by completing all known fields on the left.  Be sure to type the 'security' word in the field provided before you click on the 'Submit' button.  This will insure that your request will reach us in a timely manner. We will respond to your request promptly upon receipt.

 Thank you for contacting
PALM STATE MORTGAGE COMPANY