| First Name: * |
|
| Last Name: * |
|
| Company: |
|
| Address Street 1: |
|
| Address Street 2: |
|
| City: |
|
| State: |
|
| Zip Code: |
(5 digits) |
| Daytime Phone: * |
|
| Evening Phone: |
|
| Email: * |
|
| Is this a Purchase, Rate/Term Refi or Cash-Out?: * |
|
| Owner Occupied or Investment?: * |
|
| If Owner Occupied, What Presentage?: |
|
| Number of units?: * |
|
| Full Doc or Stated Loan Request?: * |
|
| Mid range credit score of borrower(s?): |
|
| Business Loan, Property Loan or Business & Property Loan?: * |
|
| Any construction or renovations required? (Yes or No): * |
|
| Have there been any renovations or newer construction?: * |
|
| What date was it constructed or renovated?: |
|
| What is the loan amount requested?: * |
|
| What LTV / CLTV is requested?: * |
|
| What is the property type?: * |
|
| What loan term are you requesting?: * |
|
| Are there any environmental concerns? (Yes or No): * |
|
| Is there anything special about this loan request?: |
|
|
|