Let's Talk!

Borrower Information:

Full Name *

Current Address *

Phone Number *

Email Address *

Date of birth

Date of Birth (Spouse)

Is this a purchase or a refinance? *

Refinance:

Current Home Value *

$

What mortgage amount are you looking for? *

Current Mortgage Balance *

$

Credit Score *

In which state is the property located? *

Purchase:

Property Type

When do you plan on purchasing? *

Which State are you planning to have the purchase? *

How much are you looking to put down in the purchase? *

$

Loan Details:

Loan Amount Desired *

$

Desired Loan Term (15/30 years) *

Property Address (If no address yet, just enter TBD) *

Credit Information:

Credit Score *

Any Bankruptcies or Foreclosures in the Last 7 Years? *

Yes

No

Are you a first-time homebuyer? *

Yes

No

Certifications:

I hereby certify that the information provided is accurate and complete to the best of my knowledge. I understand that any false statements may result in the denial of my loan application.

Best Time To Call *

Signature *

Clear

Connect with Our Loan Officer

Forrest Layton

818-274-9969

[email protected]

Ready to unlock your retirement? Let’s turn your home’s equity into financial freedom!

Corporate Office Headquarters

Dallas, Texas, 75252

818-274-9969

[email protected]

We value your privacy. The information that you provide to Reverse Mortgage Authority will only be used for the purpose of communicating directly with you regarding a potential or current loan service that you have engaged in. Your information will never be rented, sold or given to any third party.

Reverse Mortgage Authority is your trusted partner in unlocking the untapped potential within your home. With a commitment to transparency, expertise, and personalized service, we specialize in tailoring reverse mortgage solutions to empower homeowners ages 62 years old for FHA and 55 for proprietary.

CONTACT INFORMATION

Name: Forrest Layton

Title: Broker/Owner

Phone Number: 818-274-9969

Email Address: [email protected]

NMLS License: 457575

972-769-5242 | LAYTON FINANCIAL SERVICES CORP | DBA LAYTON MORTGAGE | DBA REVERSE MORTGAGE AUTHORITY | NMLS#1922806

CA DISCLOSURE | TX DISCLOSURE | PRIVACY POLICY