Contact Information
First Name:
Required
Last Name:
Required
For this transaction I am:
Select
Borrower for this loan
a Mortgage Broker
the Real Estate Broker
an Employee of the Broker
the Developer for this project
Other
Required
Company Name:
Mailing Address Line 1:
Required
Mailing Address Line 2:
City:
Required
State:
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AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Required
Zip:
Required
Daytime Phone Number:
Required
Fax Number:
Evening Phone Number:
E-mail Address:
Lender/Investor Category
Project Name:
Required
Project Type
Select
First Mortgage
Construction Loan
Mezzanine Loan - Standing Property (Purchase or Cash Out)
Mezzanine Loan - New Construction or Major Rehab
Second Mortgage
Check here if you want an SBA loan:
(Must be 50% owner used)
I need a bridge loan:
(very fast, short term, more expensive loan)
This loan probably requires a hard money lender:
(more expensive but lenient)
Amount of Loan Requested:
Required
Sales Price / Value of the Collateral:
Required
Amount of Down Payment:
Property Address:
Required
Property Address Line 2:
Property City
Required
Property County:
Required
Property Type
Choose One
Agricultural or Ranch Property
Apartment Building
Assisted Living Facility
Auto Dealership/Used Car Lot
Auto Repair
Bed & Breakfast Inn
Commercial or Retail Building
Congregate Care Facility
Cooperative
Duplex, Triplex, or Fourplex
Gas Station
Golf Course
Hotel & Motel
Industrial Building
Industrial Condo
Land
Mini-Warehouse
Multi Use Property
Multi-Family (5+ units)
Office Building
Office Condo
Parking Garage
Residential Care Home
Residential Condo
Residential Condo Subdivision
Restaurant
Shopping Center
Single Family Residence
Skilled Nursing Facility
Special Used Property
Required
Gross Rentable Area (sq/ft):
Net Rentable Area (sq/ft):
Number of Units:
Number of Vacancies:
Vacancy Rate for the Area:
Choose One
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
Required
Description of the Property
Required
Age of the Property (years):
Property was last renovated (years ago):
Purpose of the Loan:
Select
Cash-out Refinance
Purchase
Maturing loan (no cash out)
Maturing loan (cash out)
Rate and term refinance (no cash out)
New Construction
Renovate or Expand the Property
Some Renovation and Some Cash Out
Other
Interest Rate Desired:
Select
4
4.125
4.25
4.375
4.5
4.625
4.75
4.875
5
5.125
5.25
5.375
5.5
5.625
5.75
5.875
6
6.125
6.25
6.375
6.5
6.625
6.75
6.875
7
7.125
7.25
7.375
7.5
7.625
7.75
7.875
8
8.125
8.25
8.375
8.5
8.625
8.75
8.875
9
9.125
9.25
9.375
9.5
9.625
9.75
9.875
10
10.125
10.25
10.375
10.5
10.625
10.75
10.875
11
11.125
11.25
11.375
11.5
11.625
11.75
11.875
12
12.125
12.375
12.5
12.625
12.25
12.375
12.5
12.625
12.75
12.875
13
13.125
13.25
13.375
13.5
13.625
13.75
13.875
14
14.125
14.25
14.375
14.5
14.625
14.75
14.875
15
15.625
15.75
15.875
Loan Fee to Lender (points):
Loan Fee to Broker (points):
Amortization Schedule Requested:
Select
15
20
25
30
Term of Loan Requested:
Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Describe special issues, problems or needs
If requesting a second mortgage please input senior loan information
Curb Appeal:
Select
Run Down Old Building in Low Income Area
Average Building in a Low Income Area
Well Maintained Building in a Low Income Area
Older Building in a Middle Income Area
Average Building in a Blue Collar, Middle Income Area
Average Building in a White Collar, Middle Income Area
Well Maintained Building in Upper-Middle-Income Area
Brand New Building in a Average Neighborhood
Brand New Building in Upper-Middle-Class Area
Brand New Building on the Richest Street in Region
I Don't Know
Borrower Information
Name of Borrowers/Couple (1):
Required
Type of Entity:
Select
Individuals
Corporation
General Partnership
Limited Partnership
Limited Liability
Other
Occupation:
Annual Income:
Required
Net Worth:
Less than $250,000
$250,000
$500.000
$1,000,000
$2,000,000
$5,000,000
more than $10,000,000
Credit:
Perfect
Very Good
Good
Decent
Reestablished after Bankruptcy
Slow pay
Poor
Bankruptcy discharged within 3 years
In Chapter 11 Bankruptcy
In Chapter 7 Bankruptcy
Credit Score:
Name of Borrowers/Couple (2):
Type of Entity:
Select
Individuals
Corporation
General Partnership
Limited Partnership
Limited Liability
Other
Occupation:
Annual Income:
Net Worth:
Less than $250,000
$250,000
$500.000
$1,000,000
$2,000,000
$5,000,000
more than $10,000,000
Credit:
Perfect
Very Good
Good
Decent
Reestablished after Bankruptcy
Slow pay
Poor
Bankruptcy discharged within 3 years
In Chapter 11 Bankruptcy
In Chapter 7 Bankruptcy
Credit Score:
Property Income
Gross Scheduled Income:
Other Income Sources
(parking, laundry, etc.)
:
Expenses
Real Estate Taxes:
Insurance:
Management Expense:
Repair and Maintenance Expense:
Reserves for Replacement:
Utilities:
Other Operating Expenses:
No Residential Financing
Minimum Loan Amount $5,000,000
Smaller loans considered case by case.
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