Loan Amount
Position
1st. Mortgage
2nd. Mortgage
Bridge Loan (fast,short term)
Construction
S.B.A.
Property Type
Single Family Residence
Residential Condo
Duplex, Triplex, or Fourplex
Agricultural or Ranch Properties
Apartment Buildings
Assisted Living Facility
Auto Dealership/Used Car Lot
Bed & Breakfast Inns
Casinos
Churches
Commercial or Retail Buildings
Congregate Care Facilities
Duplex, Triplex, or Fourplex
Gas Stations
Golf Courses
Hotels & Motels
Industrial Buildings
Industrial Condos
Land
Mini-Warehouses
Mixed Use Properties
Mobile Home Parks
Office Buildings
Office Condos
Parking Garages
Residential Care Homes
Residential Condo
Residential Condo Subdivisions
Residential Subdivisions
Restaurants
Retail or Commercial Buildings
Single Family Residence
Skilled Nursing Facility
Shopping Centers
Special Use Properties
Property Address
Property City and State
,
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
VI
VA
WA
WV
WI
WY
Property Value
Your First Name
Your Last Name
Co-borrower's First Name
Co-borrower's Last Name
Borrower's Social Security #
Co-borrower's Social Security #
Your Occupation
Your Company Name
Optional
Your Address
Suite #
City, State, and
Zipcode
,
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
VI
VA
WA
WV
WI
WY
Home Telephone
Work Telephone
FAX
Optional
Mobile Phone number
Optional
E-mail address
Do you check your
E-mail daily?
yes no
What do you plan to do with
the proceeds? What loans are you paying
off? How important is speed? Are
you willing to pay more for a loan if you can
get the money quicker? Are you willing
to wait an additional 25 days to get the
lowest possible rate?
Have you applied to others
for this loan? If so, who? What
is the status of the application with the
other lender(s)? What problems were
noted by the other lender(s)?
What is your total annual income?
What is your approx.
net worth?
How are your tax returns? Do they show a
loss or only a small income? Do you really make more
money?Can you provide 24 months bank statements instead?
How is your credit? What other potential
problems should we know about? Use this space to talk
to us.