Please provide the following basic contact information and a knowledgeable Loan Officer will be in touch with you to discuss your request. Patriot does not sell or refer your information to any other third parties.  We are your source for refinance and purchase money loans.

For a complete Online Approval complete with credit review, click here to access our secure loan submission tool.

Name
Spouse's Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Request	Refinance to Lower Rate Commercial Financing Retail Financing Apartment Financing Home Equity Line of Credit (HELOC) Refinance to Cash Out Refinance to Lower Rate and Cash Out Purchase a Home Debt Consolidation with Home Equity Have a Realtor Represent you for Purchase Have a Realtor represent you in selling a home
Value of Home	(or purchase price)
Mortgage Balance	(or purchase loan amt.)
Property Type	Single Family Residence Townhouse Manufactured Home Farm High Rise Condo Row House Unique Property Condominium Mobile Home Apartment Building Commercial Building
Rate your credit	AAA - Never Late AA - Never Late Higher Balances A - Late Payments - Mortgage as agreed B - Some Mortgage Lates C - Significant Mortgage Lates 60 days down or more D - BK in last 12 months
Annual Income Level	$0 $10000-15000 $16000-24000 $25000-36000 $37000-45000 $46000-75000 $76000-100000 $101000-150000 $151000-300000 $301000-500000 501000+
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