We only need the following info to complete your ARM Lead order:

Quantity: ______________ State: ____________

Minimum loan amount: $100,000 LTV: 80% or less based on AVM*

Month of ARM Lead recast desired: _________________

Counties: order will be pulled in order listed until filled, then statewide, 10 minimum to choose from please

Pre-payment information: ALL prepays will expire prior to recast!

Email to send PAYPAL request if different: _________________________________

***If any state specific disclosures are required***
You will receive a letter for mark up and review and you can add it then…

ADJUSTABLE RATE MARKETINGS' PRODUCTS ARE SOLELY FOR COMMERCIAL USE BY THE COMPANY, AND
ONLY THE COMPANY PUCHASING THE PRODUCT. THE PURCHASER MAY NOT MODIFY, COPY, DISTRIBUTE, TRANSMIT, DISPLAY, PERFORM, REPRODUCE, PUBLISH, LICENSE, CREATE DERIVATIVE WORKS FROM, TRANSFER OR SELL ANY INFORMATION, SOFTWARE, PRODUCTS OR SERVICES OBTAINED FROM ADJUSTABLE RATE MARKETING. WITHOUT LIMITING THE FOREGOING, COPYING OR REPRODUCTION OF THE SOFTWARE TO ANY OTHER SERVER OR LOCATION FOR FURTHER REPRODUCTION OR REDISTRIBUTION IS EXPRESSLY PROHIBITED. ALL VIOLATORS WILL BE PROSECUTED TO THE FULL EXTENT OF THE LAW. *LTV IS BASED OFF OF A 3RD PARTY AVM AND ARM WILL NOT BE RESPONSIBLE FOR DISCREPANCIES BETWEEN AVM AND ACTUAL VALUE.
By signing here I am stating that I have read the above and agree to its terms. Also
by signing here I am stating that I wish to place this ARM Lead order.

_______________________________
Sign and date

Adjustable Rate Marketing - Arm Lead Order
2192 Slack Rd

Hodgenville, KY 42748

270-358-8634 / 270-358-0310

stephen@adjustableratemarketing.com