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Instructions
1. Use this form to request mortgage information.
2. Please fill out as much of the form as possible.
3. When finished click on the submit button.
*Items with an asterisk are required.
First Name: *
Last Name: *
Street Address:
City:
State:
Zip Code:
Email: *
Home Phone Number: *
Work Phone Number:
Cell Phone Number:
Fax Number:
Pager Number:
Select Loan Type: *
Select Property Type: *
Select Your Timeframe: *
Additional Information:
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Avis Mortgage - 19782 MacArthur Blvd #250 - Irvine, CA 92612
Office Phone: (888) 455-AVIS (2847) Fax: (800) 397-2345
License: 00998943


Avis Mortgage can lend in the following states: CA, HI, OR, AZ, WA

CAMB - California Association of Mortgage Brokers Equal Housing Lender NAMB - National Association of Mortgage Brokers

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