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First Name :
Last Name :
E-mail :
Phone Number :
Company :
What is Your Primary Role in This Loan Request?
Borrower
Loan Broker
Real Estate
Agent
Other
Collateral Type :
Residential Real Estate
Commercial Real Estate
Land
Other
Property Type :
Single Family Home
Condominium/Co-Op
Duplex-Two Units
Triplex-Three Units
Fourplex-Four Units
Mixed-Use
Land
Portfolio of Properties
Multi-Family 5+ Units
Retail
Office
Industrial
Infill Land (Urban)
Hotel
Care Facility
Other
Number of Units :
Requested Loan Amount :
Loan Position :
First
Second
Third
I Don't Know
Property Loan Type :
Acquisiton
Refinance
Ground-Up Construction
Note Purchase
Purchase
Purchase, Rehab Fix & Flip
Purchase, Rehab & Rent
Preferred Loan Term :
Six Months
Nine Months
Twelve Months
Eighteen Months
Other
Exit Strategy - How Will the Loan Be Paid Off?
Refinance
Sale of Subject Property
Sale of Another Property
Other
Has a Subject Property Been Located?
Yes
Not Yet
Purchase Price :
Purchase Loan-to-Cost :
Borrower Contribution
Source of Borrowers Equity :
Own Cash
Partner
Equity in Another Property
1031 Exchange
Seller Financing
Non-Applicable
Property Address :
Property Size :
Borrower Entity :
Individual(s)
Corporation
Limited Partnership
LLC
Trust
Other
I don't know
Borrower Credit Rating :
Prefer Not to Answer
Excellent
Good
Average
Fair
Poor
Message :
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