INVESTORS MORTGAGE COMPANY * 4717 Jenn Drive * Myrtle Beach, SC * 800-476-5261

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CONTACT FORM Please provide the following information in order for us to meet your financing requests. Name Address City State Zip E-Mail Telephone Select one or more of the following: Purpose of Loan: Refinance Purchase New Construction Other Type of Loan: Fixed ARM Type Property: Primary Home Secondary Home Investor Property Loan Amount: Sales Price of Property: Down Payment: Please use text area below to provide additional comments or questions.

Investors Mortgage Company 4717 Jenn Drive Central Park Place, Suite 100 Myrtle Beach, SC 29577 Phone: 843-449-5261 Fax: 843-449-0013 E-mail: money@investorsmortgageco.com