NLD General Loan Intake Request

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Name* This field is required.
First Name
Last Name
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E-mail* This field is required.
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Phone Number* This field is required.
Area Code
Phone Number
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What type of loan are you interested in?**Please Note: Nationwide Mortgage Direct Can Only Assist In The State Of Florida Regarding Primary Residences**
Select
Select
Florida Purchase Loan on Primary Residential Property
Florida Refinance Loan on Primary Residential Property
Investment Residential Property Loan (Nationwide)
Commercial Real Estate Loan (Nationwide)
Business Loan (Nationwide)
Other Loan
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State the Property is LocatedWhat state is your business located in?
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Type of commercial loan
Bridge Loan
Short-Term Loan
Business w/ Commercial Real Estate
Other (TBD)
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Type of business loan
Quick Financing
Term Loan
Other (TBD)
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Select your residential property type
Primary Residence
Investment Property
Second Home
Other (TBD)
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What terms are you seeking?
(Example: Acceptable Range of Interest Rate, and LTV)
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How much would you like to borrow?
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Credit HistoryWhat is your estimated credit score?
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A summary of your loan.From the property address to the type of industry you're in, please provide an executive summary of the loan request and how soon you are looking to get funded. You can also upload your summary after clicking "next".
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How did you hear about us?* This field is required.If you were referred by someone, please enter the representative name.
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Supporting FinancialsFrom Executive Summaries to Personal Financial Statements and more, please upload any supporting documents in relation to your loan request. You can also email your documents to admin@nationwidelendingdirect.com
Drag and drop files here
Select files to upload
Max. file size: 23.4MB
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Please verify that you are human* This field is required.
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