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Loan Submission Form
Note: * indicates required information. However, the more information you provide now, the faster the process will go.

Borrower Information
 
Name:

*
Phone:

   ext:
Email:

*
Address:
City:
State:

             Zip:  
Credit Score: Poor Fair Good Excellent   (check one)
Is the borrower a real estate professional? Yes No If "yes" please explain:
Amount wanting to borrow:     NOO    OO
Use of funds: Purchase    Rehab Refinance    Construction    Other
 
Do you have any other collateral you would consider putting up? Yes No
 
Are you willing to share equity/appreciation? Yes No
 
Property Information
 
Address:
City:
State:

             Zip:  
Estimated Value: $    
How was value arrived at?    
Gross Rental Income:                         Building Square Feet:
Property Type: Residential      Industrial      Office    Retail   
Multi-Family    Mixed Use    Land      Other
How much will repairs and updating cost?    
Do you have written estimates? Yes No
How long will the repairs take?    
Will repairs require permitting? Yes No
What is the estimated after repair value?    
How much cash will you be putting into the project?    
Other Information:


Existing Loan Information
 
1st Loan amount:  $     Interest Rate:     Length of Term:
2nd Loan amount: $     Interest Rate:     Length of Term:
3rd Loan amount:  $     Interest Rate:     Length of Term:
Are there any other liens?     Yes No
Exit Strategies:
(at least primary and secondary)
Mortgage Loan
Broker Information: 		(check if you have one)
Name:
Company:       Lic #:
Telephone:       ext:
E-mail Address:
Fee:
    
 
 

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