| Contact
Name: |
|
| Contact
Phone (1): |
|
| Contact
Phone (2): |
|
| Fax: |
|
| E-mail: |
|
| Requested
Loan Amount: $ |
|
| Minimum
Loan Amount Required: $ |
|
| Type
of Loan Requested: |
|
|
If
Acquisition, list the price: |
$ |
|
If
Rehab, List cost of Repairs: |
$ |
| Type
of Property: |
|
| Length
of Term: |
|
| Requested
Interest Rate: |
% |
| Current
Property Value: |
|
| Projected
/ Completed Property Value: |
(if applicable) |
| Date
of Purchase: |
(mm/dd/yy) |
| Describe
Collateral: |
|
| Appraisal: |
Yes
No |
| |
If
Yes: Date of Appraisal: |
|
If
Yes: Value of Appraisal: |
|
|
| Use
of Funds (be Specific): |
|
| Location
(City): |
|
| Location
(State): |
|
| Borrower
Cash in Project: |
|
| Additional
Cash Available for Project: |
|
|
|
| Loan
Amount |
|
Name
of Lender |
| Lien
1: |
|
Lender:
|
| Lien
2: |
|
Lender:
|
| Lien
3: |
|
Lender:
|
| Are
your payments Current? |
Yes
No
If "Yes" how many months behind? |
| Funding
Deadline: |
(mm/dd/yy) |
| Are
your Financials Available? |
Yes
No |
| Are
your Taxes Current? |
Yes
No
If "No" what is the amount owed? |
| Describe
the Property in Detail: |
|
| How
is the borrowers credit ranked? |
|
| Borrower's
Credit Score(s) (if available): |
|
| Additional
Collateral Available: |
|
|
|
