Confidential Loan Request Form

Please fill in all fields marked with a Required
  First Name Required
  Last Name Required
  For this transacation I am : Required
  Company Name
  Mailing Address Line 1 Required
  Mailing Address Line 2
  City Required
  State Required
  Zipcode Required
  Daytime Phone Number Required
  Fax Number
  Evening Phone Number
  Email Address
Project Information
  Project Name Required
  Project Type
  Check here if you want an SBA loan.
 (Must be 50% owner used.)
  I need a bridge loan (very fast, short term, more expensive loan).
  This loan probably requires a hard money lender (more expensive but lenient).
  Amount of Loan Requested Required
  Sales Price / Value of the Collateral Required
  Amount of Down Payment
  Property Address Required
  Property Address Line 2
  Property City Required
  Property County Required
  Property Type Required
  Gross Rentable Area (sq/ft)
  Net Rentable Area (sq/ft)
  Number of Units
  Number of Vacancies
  Vacancy Rate for the Area
 

Description of the Property
Required
  Age of the Property (years)
  Property was last renovated (years ago)
  Purpose of the Loan
  Interest Rate Desired %
  Loan Fee to Lender (points)
  Loan Fee to Broker (points)
  Amortization Schedule Requested years
  Term of Loan Requested
  Describe special issues, problems or needs
  If requesting a second mortgage please input senior loan information
  Curb Appeal
Borrower Information
  Name of Borrowers/Couple (1) Required
  Type of Entity
  Occupation
  Annual Income Required
  Net Worth
  Credit
  Credit Score
  Name of Borrowers/Couple (2)
  Type of Entity
  Occupation
  Annual Income
  Net Worth
  Credit
  Credit Score
Property Income 
  Gross Scheduled Income
  Other Income Sources
(parking, laundry, etc.)
Expenses 
  Real Estate Taxes
  Insurance
  Management Expense
  Repair and Maintenance Expense
  Reserves for Replacement
  Utilities
  Other Operating Expenses