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First Name: Last Name: Day Phone: Eve Phone: E-Mail: Property Value: Loan Purpose: New Home Refinance Debt Consolidation Reverse Mortgage Desired Loan Amount: Desired Loan Type: 30 Year Fixed 15 Year Fixed 3/1 ARM 5/1 ARM Best Option Available Your Credit Rating: Excellent Good Fair Poor Bad Your Question or Comments: Once you have completed this expression of interest or application your information will be sent to Homestar Financial. A representative from Homestar Financial may contact you by telephone or email. By submitting your expression of interest you are consenting to receive telephone calls or email from Homestar Financial.

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License Information	Indiana Mortgage Broker License: - 18292; Kentucky Mortgage Broker License: - MB23264; Ohio Mortgage Broker License: - MB.803913.000 ; HUD - 26900-0000-0
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