Submission Form – Credit Fails US

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SUBMIT A CUSTOMER FOR REVIEW

Name *

Email *

Phone *

DOB

Gross Monthly Income(Pre-Tax) *

Job title or Retired? *

Own home free and clear? Or Mortgage ? *

Credit Score *

Paid mortgage on time for past 12 months ? *

How long have you lived at your residence ? *

Sales Rep Name *

Sales Rep Email *

Sales Rep Phone number *

CSV Upload File

Drag and Drop (or) Choose Files

Lowtility is the name of a suite of mortgage loan programs designed to allow qualified borrowers to make home energy improvements to their home. It is not affiliated with a utility company or a DBA. Primary Residential Mortgage, Inc. NMLS#: 919520 Utah DRE Mortgage Office License # 8335595. MLO 0117736. MC3094-122. All loans subject to credit and property approval. PRMI NMLS 3094. PRMI is an Equal Housing Lender. Some products and services may not be available in all states. Credit and collateral are subject to approval. Terms and conditions apply. This is not a commitment to lend. Programs, rates, terms and conditions are subject to change without notice. 1165 East Wilmington Avenue, Suite 250 Salt Lake City, UT 84106

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