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E Proposed First Mortgage Terms – All fields must be completed Cash Out Refinance 15, 20 or 30 Year Fixed Rate Note 30+ Year Rate Note Interest Only Fixed Rate/ARM Fixed Rate ARM Negative Amortization Reverse Mortgage st New 1 Mortgage Balloon Note Yes___ Yes___ Yes___ Yes ___ Yes___ Yes___ Yes___ Yes___ No___ No___ No___ No___ If ARM, indicate Adjustment Period: ______ No___ If yes, indicate Adjustment Period: _______ No___ No___ No___ Contact Information – Please type or print clearly t.

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