Jacksonville Mortgage - St. Augustine - North Atlantic

David MacInnes
Phone: (904) 339-0074
Fax: (904) 339-0078

Please complete the form below to contact us or receive a Good Faith Estimate or Application Package:

E-Mail Address:
Your Name:
Address 1:
Address 2:
City / State / Zip	\| \|
Home Phone Number:
Business Phone Number:
Fax Number:
Where is the property located (if known)?
Type of Property:
Occupancy :Owner Occupied \| Investment
Approximate Purchase Price:
Approximate Loan Amount:
Would you prefer No Points/No Origination Fee? Yes \| No
If no, how many points( including Origination Fee) will you, your seller, or your employer be paying?
Type of Loan Desired:
30yr. Fixed Rate \|
15yr. Fixed Rate \|
1 yr. ARM
3/1 ARM
5/1 ARM
Other	Specify:
Please [ Mail \| Fax \| Email] A Good Faith Estimate and Truth In Lending Disclosure.
Please [ Mail \| Fax \| Email ] An Application Package.