Fix & Flip Funding Intake Form

LeShanda Loatman

Busissness Funding Consualtant
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Personal Information
Name of Applicant

PrefixFirst NameMiddle NameLast Name
Citizenship Status
E-mail of Applicant
Business Phone Number

Area CodePhone Number
Mobile Phone number of Appliicant

Area CodePhone Number
Fax Number of Applicant

Area CodePhone Number
Address of Applicant

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Applying as
Name Of Your Entity
Credit Score
# Of Flips Completed in the last 3 yrs
# Of Rental Purchase in The Past 3 yrs

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Investment Property Details
Planned Commercial Property Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date Of Purchase
Number of Units
Project Description

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Financial Information
Is Your Business In Good Standing?
Does the borrower have 6 months of business bank statements?
Upload Statement

Upload a File

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Do You Own More Than 51% The Company?
Will You Be The Personal Garantor
Liquid Assets

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Loan Detains
Product Type
Loan Reason

Other
Project Gross Value *Annually*
Loan Amount
Constractors Scope Of Work *For Renovations Only*

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Submit my Application
The information provided in this application shall not be shared to anyone else and is kept confidential
I agree that the information herein are true and correct
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