Project Name

Type: Select Purchase Refinance Cash-Out Refinance Rehab/Expansion Construction New Construction

Amount of Loan Request:

Completed Value of the Project:

Type of Property:
Please Choose Agricultural or Ranch Property Apt Building / Multifamily Dwelling Assisted Living Facility Auto Dealership/Used Car Lot Auto Repair Bed & Breakfast Inn Bowling Alley Casino Church Commercial or Retail Building Congregate Care Facility Convalescent Hospital Cooperative Duplex, Triplex, or Fourplex Gas Station Gentlemen's Club Golf Course Hotel & Motel Industrial Building Industrial Condo Land Marina Mixed Use Property Mobile Home Park Movie Theater Office Building Office Condo Parking Garage Residential Care Home Residential Condo Residential Condo Subdivision Residential Subdivision Restaurant Self Storage Shopping/Strip Center Single Family Residence Single Family Residence Skilled Nursing Facility Special Use Property

Property Address:

2nd line of address:

City:

Zip:

State:
---Select State--- Alabama Alaska American Somoa Arizona Arkansas Armed Forces Americas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Country:

Gross Rentable Area:
(square feet)

Net Rentable Area:
(square feet)

Number of Units:

Description of the Building(s):

Age of the Building(s):
Years

Purpose of the Loan:
Select One Acquisition Loan - Under Contract Acquisition Loan - No Contract Refinance Loan Construction Loan

Interest Rate Desired:
(%)

Amortization Schedule Desired:
(years)

Loan Term Desired:
(years)

Prefix:
Mr. Mrs. Dr. Miss Ms.

Name of Borrower:

Email:

Home Phone No:

Cellphone No:

Fax No.:

Borrower Address:

2nd line of address:

City:

Zip:

State:
---Select State--- Alabama Alaska American Somoa Arizona Arkansas Armed Forces Americas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Country:

Type of Entity:
Please Choose LLC Corporation Assisted Living Facility Trust Partnership Others

Occupation:

Annual Income:
$

Net Worth:
$

Credit:
I Don't Know Perfect Very Good Good Decent Reestablished after bankruptcy Slow pay Poor Bankruptcy discharged within 3 years In Chapter 11 Bankruptcy In Chapter 7 Bankruptcy

Credit Score (if known):

Gross Scheduled Income:
*(annual)

Other Income (laundry, parking, etc.):
*(annual)

Real Estate Taxes:
*(annual)

Insurance:
*(annual)

Management Expenses:
*(annual)

Repairs and Maintenance:
*(annual)

Reserves for Replacement:
*(annual)

Utilities:
*(annual)

Other Operating Expenses:
*(annual)