Request Information About a Loan July 5, 2016 Faragall Request Information Name * First Last Phone Number(s) * Email * Nature of Loan * Select OneRefinanceNew LoanResidentialCommerical Approximate loan amount * < $100,000 $100,000 – $199,999 $200,000 – $299,999 $300,000 – $399,999 $400,000 – $499,999 $500,000 – $599,999 $600,000 – $699,999 $700,000 – $799,999 $800,000 – $899,999 $900,000 – $999,999 $1,000,000+