Vision Force 21 - About Us
 
 

This is an important first step in the process! We are asking you to provide us some basic financial information to run a Money Merge Account™ program analysis for your household.

NOTE: This is a FREE, NO-OBLIGATION analysis. This information will be held confidential the information you provide with anyone that is not associated with our organization. We DO NOT need your private or identifiable information (i.e. Account Numbers, Social Security Numbers, Birth date, etc) to run the Money Merge Account™ program analysis.



1. How many years it will take to pay off your mortgage using the Money Merge Account™ program..
2. How many years it will take to pay off your mortgage without using the Money Merge Account™ program.
3. How much interest you will pay.
4. How much interest you will save.
5. Your effective interest rate based on using the Money Merge Account™ program.
6. And a whole lot more…




 

The results of the Money Merge Account™ Analysis Report will be based on the accuracy of the information provided and is only estimation.  This analysis is NOT automatically generated. An agent will contact you within 24 hours to discuss the findings of your report.

If you prefer, we will have your agent email or fax you the forms to fill out. You will need to fax the completed forms back to your agent and they will proceed with your analysis. (Use the Contact Us form to request an analysis using this method).
Applicant's Information
Applicant's Name * CoApplicant's Name 
Applicant's Home Phone * Applicant's Cell Phone CoApplicant's Home Phone  CoApplicant's Cell Phone
Applicant's Work Phone   Applicant's Fax CoApplicant's Work Phone CoApplicant's Fax
Applicant's E-Mail Address * CoApplicant's E-Mail Address 
  Is there a co-applicant? If so please fill out all the co-applicant fields
  
Subject Property Information

Street Address *
 City
State

Zip Code

Date of Purchase (mm/dd/yy)
Purchase Price
 Current Value *
 		Property Type
Mortgage Information
Name of Lender (1st Mortgage)
 Original Loan Amount *
 Current Loan Amount *
 Rate *
Original Term (months) *
 Term Remaining (months) *
 		Total Monthly Payments
(Including Escrow) *
 Amount to Escrow (Monthly) *
 
Name of Lender
(2nd Mortgage) 		Original Balance /
Limit
 		Original Term Current Balance Term
Remaining 		Payment Rate Fixed /
HELOC
Applicant's Income Information

Applicant's Employer
 CoApplicant's Employer
Applicant's Gross Income
(Per Pay Period)
 Applicant's Net Income
(Per Pay Period) * 		CoApplicant's Gross Income
(Per Pay Period) 		CoApplicant's Net Income
(Per Pay Period)
Applicant's Pay Period *



Applicant's Income Type *
 CoApplicant's Pay Period

Applicant's Job Position   Number of Years at Job CoApplicant's Job Position Number of Years at Job
Discretionary Income: (income left over each month after paying all monthly expenses (ie. mortgage, utilities, credit cards entertainment, etc*
Applicant's Credit Rating: 		Discretionary Income: (income left over each month after paying all monthly expenses (ie. mortgage, utilities, credit cards entertainment, etc
CoApplicant's Credit Rating:
Debts/Creditors (Other than mortgage)
Creditor Type Original Balance Current Balance Original Term Term
Remaining		 Payment Rate
 
               
               
               
               
               
               
               
               
               
               
How did you hear about the MMA Program?

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