Apply Online Please supply as much of the requested information as you can. It will greatly speed our ability to expedite your loan request.   Loan Amount Requested Amount:   Desired Term:    Estimated Property Value: Transaction Type Purchase Refinance Purchase Price: Current Outstanding Balance: Are you in contract yet? Yes    No Date Purchased: How quickly do you need to close? 120 Days 90 Days 60 Days 30 Days or Less Maturity:     Price Paid:     Amount invested in property by borrower:     Current Lender:     Proposed use of proceeds:     Does current loan have a prepayment penalty? Yes       No     If yes, amount: Loan Type Permanent    Bridge Acquisition/Construction Construction/Permanent  Other If other, please describe: Property Information Select Property Type Multi-family Cooperative Mixed Use Retail/Shopping Center Industrial Office Single Tenant Hotel Self-Storage Commercial Condo or Co-op Units Other If other, please describe: Property Address City         State        Zip Percentage of property that will be owner-occupied:   If owner-occupied, what is the nature of the business?   Lot Size    No. of Buildings    Building Square Feet   Number of Units     Number of Stories      Number of Tenants Age of Building      Physical Condition of Building  Condition of Building Excellent Good Fair Poor Current Occupancy %    Occupancy Last Yr %    Occupancy 2 Yrs Ago % Current Annualized Actual Gross Income of Property   Current Annualized Actual Expenses of Property Net Operating Income Last 12 Months   Net Operating Income Next 12 Months Borrower Information Borrower Type Individual Corporate Partnership   Name of Borrowing Entity   and  Borrower's Mailing Address City     State      Zip     Email Telephone     Cell Phone      Fax List Individual Borrowers or Principals of Borrowing Entity    1.     % Ownership Net Worth   Liquid Assets (excluding IRA accounts) 2.     % Ownership Net Worth   Liquid Assets (excluding IRA accounts) 3.     % Ownership Net Worth   Liquid Assets (excluding IRA accounts) Name of person completing this form Phone Number    Email
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