Samaritans Mortgage Company
215-549-6865
Providing Lending Solutions
Thank you for your interest in seeing just what Samaritans Mortgage can do for you.

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Borrower's Name
Co-Borrower's Name
Best time to call
Work Number
Home Number
Early Morning(8AM-10AM)
Morning(10AM-12PM)
Early Afternoon(12PM-3PM)
Late Afternoon(3PM-6PM)
Evening(6PM-9PM)
Property Value
Current Address
Property Type
Primary Residence
Second/Vacation Home
Investment/Multi-Unit Property
Loan Purpose
Proposed Loan Amount
Purchase
Refinance
Debt Consolidation
Cash-Out Refinance
Home Improvements
Overall Credit History
Mortgage Credit History
Excellent
Very Good
Good
Fair
Poor
Very Poor
Excellent
Very Good
Good
Fair
Poor
Very Poor
Additional Notes


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