Submit Your Loan Application

First Name *

Last Name *

Email Address *

Phone *

Purpose of Loan

Purchase OnlyAcquisition & RehabCash Out RefiConstruction OnlyStop Foreclosure/BankruptcyDebt Consolidation Refi

I am

BorrowerReferral PartnerCapital Investor

Subject Property Address

City

State *

Zip Code *

Is This Your Principal Residence? *

YesNo

Type of Property

Single Family ResidenceTownhouseCondoMulti Family (2-4 Units)Apartment Bldg (4 Units)Shopping CenterOffice BuildingBar/RestaurantLots/LandIndustrialOther

Are You Currently In Foreclosure?

YesNo

Are You Currently In Bankruptcy?

YesNo

Requested Loan Amount

Purchase Price (if purchase)

Requested Loan Amount

Estimate Current Value of Subject Property

Estimated Value After Rehab (if Applicable)

Estimated Repair Cost (If Applicable)

How Would You Rate Your Credit?

Please select oneExcellentGoodFairBelow AveragePoorI Don't Know

Credit Score

Do You Have Any Current Loans On The Subject Property?

No1st Mortgage2nd Mortgage1st & 2nd Mortgage

If Yes, How Much Do You Owe (for all loans)?

Mailing Address (if different than subject property address)

City

State

Zip Code

Exit Strategy

Comments/Questions

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