Welcome to Freedom Mortgage Team, Inc.

Application

Thank you for choosing Freedom Mortgage Team for your mortgage needs, and congratulations on taking the first step to Live Better™. Below is a short information sheet to get you started. This page is secured using VeriSign’s 128-bit encryption so your informaiton is safe. Should you feel uncomfotable with providing information over the web, you can always call us at 773.235.7000 during our business hours of 9am-9pm Monday - Saturday.

General Information

* indicates required field

First Name*

Last Name*

Spouse First Name

Spouse Last Name

Your Social Security
- -

Email*

Spouse Social Security
- -

Your Date of Birth
/ /

Your Monthly Income*

Spouse Date of Birth
/ /

Spouse Monthly Income

Street Address*

City*

State*

Zip Code*

Which Branch Location is more convenient for you to visit?

Oak Brook Chicago Elgin

What type of loan are you interested in?

Purchase
Refinance
2nd Mortgage
Home Improvement
Debt Consolidation

Other

Loan Amount

To quickly determine what type of service that you need, please rate your credit to the best of your knowledge:
Great Good Fair Bad

Property Information

Purchase Price of Property	Date of Purchase / /
Balance of 1st Mortgage	Balance of 2nd Mortgage
Current Value of Estimate Property

Contact Information

When is a good time for us to call you back?

Enter Time
: AM PM

Phone Number*
( ) - Home Number
( ) - Work Number
( ) -

How did you hear about us?

TV Channel

Radio Station

Referral

Mailer

Other

Questions/Comments: