Consent for Data Usage * [ ] I consent to the collection and use of my personal data for the purposes of scheduling, communication, and mortgage-related services provided by Flourish Capital Group Inc. I understand my information will not be sold or shared without my explicit permission. Agree Name * First Name Last Name Email * Best Contact Phone# * (###) ### #### Preferred Contact Method * Phone Email Text Best Time to Reach You * Morning Afternoon Evening What are you looking to do? Buy your 1st home Buy another home Refinance your current home Purchase an investment home Take cash out of your home Loan Purpose: Type of Financing Home Purchase Refinance Investment Property Construction/ Fix & Flip SBA Commercial Financing Not Sure/ Need Guidance What's your estimated credit score Excellent 740+ Good (680-739) Fair (620-679) Below (620) Not Sure Estimated Purchase Price or Current Home Value * $ Estimated Loan Amount $ How much are you putting down? (or equity if refinancing) 0-3% 3-10% 10-20% 20% + Not Sure Are you a First Time Homebuyer? Yes No Active Duty / Veteran Myself My Spouse Employment Status W2 Employee Self Employed Retired Other Gross Monthly Income (before taxes) $ Other Household Income $ Estimated Monthly Debt Payments $ Dow you currently own other properties? List number and/or type of property What are your short-term goals? What would a successful outcome look like? Any specific questions or concerns for our consultation? Thank you for completing your intake form! Your details have been received and will help us prepare for your consultation. We look forward to helping you flourish!