First Name (required)

Last Name (required)

Telephone Number

Email Address (required)

Purpose of Loan (required)
Purchase OnlyAcquisition & RehabCash Out RefinanceBridge LoanHard MoneyLand LoanRate and Term RefinanceStop Foreclosure / BankruptcyGround Up ConstructionSBACMBSEDAFannie MaeFreddie MacFHA

I Am (required)
BorrowerReferral PartnerCapitol Investor

Subject Property Address

City (Required)

State (Required)

Zip Code (Required)

Is This Your Principal Residence (required)
YesNo

Type of Property (required)
Single Family ResidenceTown HouseCondoRetailWarehouseRetailRetail StripMulti Family (2 - 4 Units)Apartment Building (4 Units +)Shopping CenterOffice BuildingBar / RestaurantLot / LandIndustrialOther (Explain In Comments Below)

Are you Currently in Foreclosure?
YesNo

Are you Currently in Bankruptcy?
YesNo

Loan Amount Requesting (required)

Purchase Price (If Purchase)

Deposit available for project

Estimate Current Value of Subject Property

Estimate Value After Rehab (If Applicable)

Estimate Repair Cost (If Applicable)

What is your middle fico score based in a TRI Merge credit report?
500520550580600620650680700720750780800

Do you own your primary residence?
YesNo

Value of primary residence

Mortgage
YesNo

Do You Have Any Current Loans On The Subject Property?
YesNo

If Yes, How Much Do You Owe (For All Loans)?

Mailing Address (If Different Than Subject Property Address

City

State

Zip Code

Exit Strategy

Comments / Questions