Application: Patti Dieu

First Name(Required)

Email(Required)

By submitting your information, you authorize us to share your information, including but not limited to, name, phone number, email and credit report with Phoenix Credit Solutions for the purposes of credit repair. TCPA Consent Agreement: By providing your phone number, you consent and agree to being contacted by us regarding your loan inquiry and mortgage products and services at the telephone number provided. You agree that we, or one of our authorized third parties, may contact you, including through automated means, via text message, telephone or mobile device, even if your telephone number is listed on a Do-Not-Call registry. This consent is not required to obtain our goods and services. If you prefer to be contacted by other means, please contact us via the contact information at the bottom of this page.

First Name(Required)

Is this request for you?(Required)

If someone else, who?

What is being produced?(Required)

What is the subject of the piece (message)?(Required)

Do you have a mailing list?(Required)

If yes, please upload your list(Required)

Max. file size: 100 MB.

Please attach here - (must include; name, primary address, secondary address, city, state, zip)

Please note, a team member will reach out to help coordinate your mailing list. Production will not begin until all the details have been finalized.

First Name(Required)

Phone(Required)

TCPA Consent Agreement: By providing your phone number, you consent and agree to being contacted by us regarding your loan inquiry and mortgage products and services at the telephone number provided. You agree that we, or one of our authorized third parties, may contact you, including through automated means, via telephone or mobile device, even if your telephone number is listed on a Do-Not-Call registry. This consent is not required to obtain our goods and services. If you prefer to be contacted by other means, please contact us via the information below.

How did you hear about us?(Required)

What state is the property in?(Required)

What is the remaining 1st mortgage?(Required)

What is your 1st mortage interest rate? (%)(Required)

First Name(Required)

Phone(Required)

TCPA Consent Agreement: By providing your phone number, you consent and agree to being contacted by us regarding your loan inquiry and mortgage products and services at the telephone number provided. You agree that we, or one of our authorized third parties, may contact you, including through automated means, via text message, telephone or mobile device, even if your telephone number is listed on a Do-Not-Call registry. This consent is not required to obtain our goods and services. If you prefer to be contacted by other means, please contact us via the contact information at the bottom of this page.

Are you working with Delmar Mortgage Loan Officer(Required)

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In Your Corner

What area are you looking to purchase? Enter State(Required)

First Name(Required)

Phone(Required)

TCPA Consent Agreement: By providing your phone number, you consent and agree to being contacted by us regarding your loan inquiry and mortgage products and services at the telephone number provided. You agree that we, or one of our authorized third parties, may contact you, including through automated means, via text message, telephone or mobile device, even if your telephone number is listed on a Do-Not-Call registry. This consent is not required to obtain our goods and services. If you prefer to be contacted by other means, please contact us via the contact information at the bottom of this page.

Are you working with Delmar Mortgage Loan Officer?(Required)

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In Your Corner

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