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  • OKBorrower First Name is required
  • OKBorrower Last Name is required
  • OKBorrower Address is required
  • OKCity is required
  • OKState is required
  • OKZip is required
  • OKE-mail is required
  • Phone

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    OKPhone is required
  • Are you currently a Minnwest Bank customer?

    OKAre you currently a Minnwest Bank customer? is required
  • OKPreferred Minnwest Bank location is required
  • What kind of loan are you interested in?

    OKWhat kind of loan are you interested in? is required
  • Who will be applying for this loan?

    OKWho will be applying for this loan? is required
  • Do you have a Real Estate Agent?

    OKDo you have a Real Estate Agent? is required
  • OKReal Estate Agent Name: is required
  • Real Estate Agent Phone:

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    OKReal Estate Agent Phone: is required
  • OKReal estate Email: is required
  • How did you hear about us?

    OKHow did you hear about us? is required
  • OptionalOKIf other, please specify is required
  • OK is required