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First Name

Last Name

Borrower Entity Name

Property Typ

Residential: Single-Family
Residential: 2-4 Units
Residential: Condo
Commercial: Multi-Family (5+ Units)/ Apt. Complex
Commercial: Mixed-Use
Commercial: Office
Commercial: Other
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Number of Units

Occupancy Status

Purpose for the Loan Funds

Purchase
Rehab
Purchase & Rehab
Refinance
Line of Credit
Cash-Out
New Construction
Bridge Loan
Other
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Loan Term

12 months
18 months
24 months
30 years
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Amount of Loan Request

$

Current Market Value (As-Is)

$

Purchase Price

$

Purchase Date

Renovation Costs

$

Anticipated After Repair Value

$

Existing Debt (If Refi)

$

Monthly/Market Rent

$

Annual Property Tax

$

Property in Flood Zone

Yes
No
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HOA Dues (If Applicable)

$

Annual Insurance Premium

$

Total Cash Reserves Available

$

Project Summary

Exit Strategy

Funds Available for this Project

$

Target Closing Date

Reason for Target Closing Date

Guarantor 1 Information

Guarantor 1: Full Name

Guarantor 1: DOB

Guarantor 1: Social Security Number

Guarantor 1: Credit Score Range

Guarantor 1: Home Phone

Guarantor 1: Cell Phone

Guarantor 1: Email Address

Guarantor 1: Present Address

Guarantor 1: Mailing Address

Guarantor 1: Employer's Name

Guarantor 1: Employer's Address

Guarantor 1: Business Phone

Guarantor 2 Information (Skip if not applicable)

Guarantor 2: Full Name

Guarantor 2: DOB

Guarantor 2: Social Security Number

Guarantor 2: Credit Score Range

Guarantor 2: Home Phone

Guarantor 2: Cell Phone

Guarantor 2: Email Address

Guarantor 2: Present Address

Guarantor 2: Mailing Address

Guarantor 2: Employer's Name

Guarantor 2: Employer's Address

Guarantor 2: Business Phone

Guarantor 3 Information (Skip if not applicable)

Guarantor 3: Full Name

Guarantor 3: DOB

Guarantor 3: Social Security Number

Guarantor 3: Credit Score Range

Guarantor 3: Home Phone

Guarantor 3: Cell Phone

Guarantor 3: Email Address

Guarantor 3: Present Address

Guarantor 3: Mailing Address

Guarantor 3: Employer's Name

Guarantor 3: Employer's Address

Guarantor 3: Business Phone

Guarantor 4 Information (Skip if not applicable)

Guarantor 4: Full Name

Guarantor 4: DOB

Guarantor 4: Social Security Number

Guarantor 4: Credit Score Range

Guarantor 4: Home Phone

Guarantor 4: Cell Phone

Guarantor 4: Email Address

Guarantor 4: Present Address

Guarantor 4: Mailing Address

Guarantor 4: Employer's Name

Guarantor 4: Employer's Address

Guarantor 4: Business Phone

List All Properties Owned

Address 1

Address 1: Ownership

Address 1: Mortgage Amount Owed

$

Address 1: Present Market Value

$

Address 1: Description

Address 2

Address 2: Ownership

Address 2: Present Market Value

$

Address 2: Mortgage Amount Owed

$

Address 2: Description

Address 3

Address 3: Ownership

Address 3: Mortgage Amount Owed

$

Address 3: Present Market Value

$

Address 3: Description

Address 4

Address 4: Ownership

Address 4: Mortgage Amount Owed

$

Address 4: Present Market Value

$

Address 4: Description

Declarations

Are there any outstanding judgments against you?

Guarantor 1

Guarantor 2

Guarantor 3

Guarantor 4

Have you been declared bankrupt in the past 7 years?

Guarantor 1

Guarantor 2

Guarantor 3

Guarantor 4

Have you had a property foreclosed upon or given title or deed lieu thereof in the last 7 years?

Guarantor 1

Guarantor 2

Guarantor 3

Guarantor 4

Are you a party to a lawsuit?

Guarantor 1

Guarantor 2

Guarantor 3

Guarantor 4

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?

Guarantor 1

Guarantor 2

Guarantor 3

Guarantor 4

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?

Guarantor 1

Guarantor 2

Guarantor 3

Guarantor 4

Are you a U.S. citizen?

Guarantor 1

Guarantor 2

Guarantor 3

Guarantor 4

Are you a permanent resident alien?

Guarantor 1

Guarantor 2

Guarantor 3

Guarantor 4

Do you intend to occupy the subject property?

Guarantor 1

Guarantor 2

Guarantor 3

Guarantor 4

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112 S Tryon St STE 809 Charlotte, NC 28284

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