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Applicant's Name:

Main Contact Number:

Alt. Number:

Best time to Call: Select Anytime 9am-11am 11am-1pm 1pm-3pm 3pm-5pm 10am-2pm Saturday Contact by email only

Email:

Monthly Household Income:.00

Employment info: Select Full Time Part Time Self Employed Retired Fixed Income

How Long: Select Less Than 1 Year 1Yr-2yrs 2yrs+

PROPERTY INFO:

 Address:      

 City:

 State: Select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY              

 Zip:

Type: Select Single Family Residence 2-4 units Condo/Townhouse Apartment (5+ units) Strip Center Hotel/Motel Gas Station Office Building Medical Building land Mixed Use Church other

Occupancy: Select Primary Residence 2nd Home Investment

Loan Type: Select Purchase Refinance Cash-Out Refinance No Seasoning Refi No Seasoning Cashout Hard Money

If Refinance

Current Rate:

Balance Owed:

Credit Score: Select 720+ 710-719 700-709 690-699 680-689 670-679 660-669 650-659 640-649 630-639 620-629 610-619 600-609 590-599 580-589 570-579 560-569 550-559 540-549 530-539 520-529 510-519 500-509 below 500 I Do not know

Purchase Price/Estimated Value:

Requested Loan Amount: $50,000 min.

Expected Cash Down payment: Select None 3% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55%+ (5% min. for Commercial Loans)

Need a local Realtor: Select Yes No

Please add any additional info regarding your loan request: