Saffire Mortgage, Inc.
595 Dorset Street
South Burlington, VT 05403

Phone: 888.383.0633

Fax: 802.383.0635

Email: info@saffiremortgage.com

This form is designed so that you can request services online, and so we can better serve you. Please call or email us with any questions.

Name:

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Email Address:

Daytime Phone:

Evening Phone:

When is a good time to call you?
--Select One-- Morning Afternoon Evening

Purchasing or Refinancing?
--Select One-- Purchasing Refinancing Home Equity

Desired Loan Amount

Current Value of Home

Comments/Questions

You will be contacted within hours of your submission.