Rate Alert

Please fill out the following Rate Alert form to specify the rate, points and program you'd like. The Rate Alert program will scan our rates and programs until a match is found. A representative from Citizens-Direct will contact you by telephone or email. Once you have completed this expression of interest or application, your information will be sent to Citizens-Direct. By submitting your expression of interest you are consenting to receive telephone calls or email from Citizens-Direct.

CONTACT AND BORROWER INFORMATION

First Name	Last Name	Email Address
**	**	**
Current Street Address

City	State	Zip Code
		**

Primary Phone	Alternate Phone	Best Time To Call
******	***

LOAN AND PROPERTY DETAILS

Target Rate	Target Points	Credit History
*	*	*

Loan Amount	Property Value
**	**

Program	Time Frame
*	*

Property Type	Loan Type
*	*

COMMENTS
*