Loan Request Pre-Qualification Questionaire

Please fill in as much information as possible so that we can completely evaluate your loan request. Any question with (*) must be answered.



	Name* First Name Last Name
	Company
	Address of Property* City State Zip Code
	Phone* Example: 410-555-1212 (you can include an extention- 410-555-1212 Ext. 1234)
	Email*
	Loan Type*
	Loan Amount Requested* Example: $1,500,000
	Loan to Value (LTV)* Example: 80%
	Estimated Property Value Example: $2,500,000 (Not Applicable for business only loan)
	Property Type* If not listed, use "Other" and explain in comments section
	Purpose of Loan*
	Occupancy*
	Middle Credit Score Pick the middle score from the 3 credit report agencies; Equifax, Trans Union & Experian
	How did you hear about our company
	Additional Comments/Purpose of Loan