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Uniform Loan Application
These questions will help us to find the best funding options for you.
35
Questions
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1
Borrower First Name or Company Name
*
This field is required.
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2
Last Name
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3
Borrower's Email
*
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4
Broker Email
*
This field is required.
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5
Borrower's Phone
*
This field is required.
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6
Business Name (if applicable)
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7
Borrower's Current Address
*
This field is required.
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8
Address Line 2
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9
City
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10
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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11
ZIP Code
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12
Will there be a Co-Borrower
No
Yes
No
Yes
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13
Exit Strategy
*
This field is required.
Select One
Flip
Rent
Select One
Flip
Rent
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14
Other properties available to include as collateral
*
This field is required.
Select One
No
Yes
Select One
No
Yes
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15
Purchase Price
*
This field is required.
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16
Rehab Budget Amount
*
This field is required.
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17
Estimated Value As-Is
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18
Estimated Value After Repair
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19
Subject Property Address
*
This field is required.
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20
Any Additional Information or Comments
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21
Were You Referred To Us By Someone or a Website?
Yes
Yes
Yes
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22
Who Referred You To Us?
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23
What loan amount you are requesting?
*
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24
Total amount of Hard money loans outstanding?
*
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25
Ever Declared Bankruptcy?
*
This field is required.
Select One
Yes
No
Select One
Yes
No
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26
Been Foreclosed On?
*
This field is required.
Select One
Yes
No
Select One
Yes
No
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27
Had a Judgment Levied?
*
This field is required.
Select One
Yes
No
Select One
Yes
No
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28
Available Cash / Cash on Hand
*
This field is required.
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29
# of Investment Properties Currently Owned
*
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30
# of Flips in Past 12 Mo.
*
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31
Any outstanding loans/liens on subject property ?
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32
Any credits or concessions being given to borrower ?
*
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33
Are you planning on owner financing the home or placing any kind of 2nd lien?
*
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34
Is there any fire, flooding, or tornado damage to the property, or any other major damage?
*
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35
Is there any assignment or double close involved?
*
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36
Closing Date
*
This field is required.
-
Date
Month
Day
Year
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37
Unique ID
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38
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