Commercial Real Estate Intake Form

Blaine Martin Strategies

Commercial Real Estate Intake Form
Name of Applicant*

PrefixFirst NameMiddle NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Estimated Credit Score*
Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Property Value
if applicable
Rehab Cost
if applicable
ARV
if applicable
Number of Projects Renovated in the Past Three Years on Title
Employer's Name*

Employer's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer's Phone Number*

Area CodePhone Number

The information provided in this application shall not be shared to anyone else and is kept confidential
Yes
Should be Empty: