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APPLY FOR A LOAN

Your Name*

Your Full Primary Residence Address, City, & State*

Your Date of Birth*

Phone Number*

Email Address*

Your Business Entity Name (if borrower will be a person Enter Full Name)*

Type of Business *

Property Type*

# of Units*

Purpose of Loan*

Purchase Price / Current As Is Value*

Dollar Amount of Rehab Needed (if none enter 0)*

After Repair Value (If no repairs are needed enter current value or purchase price)*

Subject Property Full Address, City, State, & ZIP*

Subject Property Use/Occupancy*

Subject Property Monthly Rental Income*

Subject Property Annual Real Estate Taxes*

Subject Property Annual Insurance*

Estimated Credit Score*

# of Properties Currently Owned or Owned in Last 3 years*

# of Rehabs Completed in last 3 years*

US Citizen?*

Please describe loan request in more detail*


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