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Loan Application Form

PRELIMINARY APPLICATION & LOAN REQUEST
NO FEE REQUIRED WITH THIS APPLICATION

Date: 

BORROWER BROKER
Name:   Name:
Phone:  Phone:
Fax: Fax:
Email:  Email:
TERMS REQUESTED PROPERTY INFORMATION
Loan Amt: Property type:
Rate: Other Prop. Type:
Term (Yrs): Property Size:
Sq.Ft. and/or
Amortization:
 # of Units
ADDRESS OF PROPERTY
Street Address 1:  
Street Address 2:  
City:   State:    Zip:
Do you have Appraisal?   Yes   No 
Date of Appraisal:   Value per Appraisal:
Do you have an Environmental Report?  Yes    No
Date of report:
Do you have Structural/Engineering Report? Yes    No 
Date of report:
Your estimated fair market value of property?   
Name of present holder of first mortgage?

Amount:  

    Rate:  Due Date: 
Other mortgages?  

Amount:  

    Rate:   Due Date:
Current property annual gross income:
Current property expenses:
NOI:  
When does Borrower need to close the loan? Please explain:
    
Is this a refinance?  Yes No
Is this a purchase?  Yes No
If cashout what is use of cashout proceeds?
    
Names of the principals of the Borrower:
    
IF PURCHASE
Is sale contract executed:   Yes     No
Describe business experience and background of Borrower:
    
Has Borrower submitted this loan request to another Lender?   Yes    No
     If so, who? 
Has Borrower's loan request been turned down by a bank or any Financial Institution?  Yes No
     If "YES" please indicate name of Bank(s) and why:
    
Any Environmental, Structural or Engineering problems with property?  Yes  No
     If Yes please explain:
    
Deferred Maintenance?   Yes   No
     If yes, cost of Deferred Maintenance: 
     Describe Deferred Maintenance:
    
Additional Notes or Comments:
    
  

The person executing this preliminary application and loan request represents and warrants that he or she is the potential borrower or an officer of the borrowing entity and has the power to execute this preliminary application and loan request and that all information in this document and any amendments, supplements and attachments are true and correct.