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Proposal Information Sheet

First Name

Last Name

Borrower Date of Birth

CoBorrower Date Of Birth

Phone Number

Email Address

Property Address

Estimated Home Value

Amount Owed on Home

SSN

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Certified Reverse Mortgage Planner / CMA Certified Mortgage Advisor
NMLS 16268 // AZ. Lic. 940132

Reverse Resource Group is Licensed in: AZ, NH, CA, FL, GA, SC, NV, CO, TN, WA, TX, MT, IA, VA, ID

AmeriFirst Financial, Inc., 1550 E. McKellips Road, Suite 117, Mesa, AZ 85203 (NMLS # 145368). 1-877-276-1974. © 2021. All Rights Reserved. This is not an offer to enter into an agreement. Not all customers will qualify. Information, rates, and programs are subject to change without prior notice. All products are subject to credit and property approval. Not all products are available in all states or for all loan amounts. Other restrictions and limitations apply. AmeriFirst Financial, Inc. is an independent mortgage lender and is not affiliated with the Department of Housing and Urban Development or the Federal Housing Administration. Not intended for legal or financial advice. Visit https://amerifirstloan.com/pages/state-licensing for all state licenses information. Visit NMLS Consumer Access at https://www.nmlsconsumeraccess.org/.