I am
the borrower
a broker
other third party |
Borrower's
Name: |
|
Relationship
to Borrower: |
|
Company: |
|
City: |
|
State: |
|
Zip: |
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Business
Phone Number: |
|
Alternate
Phone Number: |
|
Fax: |
|
E-mail: |
|
Borrower's
approximate mid credit rating: |
|
Borrower's
approximate income (per year): |
|
Borrower's
approximate net worth: |
$
|
Will
there be a co-borrower? |
Yes
No |
Co-Borrower's
Name: |
|
Co-Borrower's
approximate mid credit rating: |
|
Co-Borrower's
approximate income (per year): |
|
Co-Borrower's
approximate net worth: |
$
|

PROPERTY DETAILS
|
Subject
Property Street Address: |
|
City: |
|
State: |
|
AS-IS
market value of the property: |
$
|
Indications
of this value: |
Comps
Appraisal
Other |
Describe
other indicators of current value: |
|
Subject
Property Type: |
|
Total
Square Footage: |
sq. ft. |
No.
of Bedrooms: |
|
No.
of Bathrooms: |
|
Size
of Lot/Parcel: |
acres |
Is
the subject property (or will the subject
property be) the borrower's primary
residence? |
Yes
No |
Will
the subject property be partially or wholly
occupied by the borrower? |
Yes
No |
Total
Acreage: |
acres |
Please
add any further description of the
property: |
|

LOAN DETAILS
|
Requested
loan amount: |
$
|
Requested
term of loan: |
months |
Type
of Loan: |
Purchase
Refinance
Construction/Rehab
with acquisition
Construction/Rehab
with refinance
Subordinate
Loan |
Purchase
Price: |
$
|
Will
the seller carry back a second? |
Yes
No |
Amount
of carry-back: |
$
|
Will
the borrower make a down payment?: |
Yes
No |
Amount
of down payment: |
$
|
Projected
market value of the property: |
$
|
Indications
of this value: |
Comps
Appraisal
Other |
Describe
other indicators of projected value: |
|
Estimated
cost of the above construction/
improvements: |
$
|
Total
amount currently owed: |
$
|
Total
amount of debt on property that will remain
senior to our loan: |
$
|
Plan
for repayment: |
Sale
Refinance
Other |
Describe
other plan for repayment: |
|
Required
Closing Date: |
|
Comments: |
|
How
did you hear about us? |
|
|
|