Real Estate Loan Submission Form:
Please fill out the application below in its entirety. Your changes will not be saved until the application is submitted.
Requested Loan Amount:
*
Purpose of Loan:
*
Please Select
Purchase
Refinance
Renovation
Cash out refinance
Other
If purpose of loan is "other", please describe:
Proposed Property Address:
*
Street Address
Apartment Number, Suite. (Write NA if not applicable)
City
State / Province
Postal / Zip Code
# of Units:
Please Select
1
2
3
4
5
6
Will title be held in an entity?
Yes
No
If "yes", please state entity name:
Property Type:
*
Please Select
Residential
Commercial
Multi-Family
Mixed-Use
Land
Other
If "Multi-Family", how many units?:
If "other", please describe:
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Catapult Industries: Real Estate Loan Submission Form
Please fill out the application below in its entirety. Your changes will not be saved until the application is submitted.
Applicant's Name:
*
First Name
Last Name
SSN:
*
Date of Birth:
*
(MM/DD/YYYY)
Marital Status:
*
Please Select
Single
Married
Divorced
Widowed
Separated
Residency Status:
*
Please Select
Us Citizen
Permanent Resident
Non-Permanent Resident
Primary Residence
*
Street Address
Apartment Number, Suite (Write NA if not applicable)
City
State / Province
Postal / Zip Code
Applicant's Phone Number:
*
Please enter a valid phone number.
What is your credit score?
*
Please Select
850-800
799-740
739-670
669-580
579-300
Other
If "other", please describe:
Did you own or rent?
*
Own
Rent
Number of years at residence:
*
Employer Name:
*
Years on Job:
*
Address of Employment:
*
Street Address
Apartment Number, Suite (Write NA if not applicable)
City
State / Province
Postal / Zip Code
Business Phone Number:
*
Please enter a valid phone number.
Monthly Income:
*
Are you self employed?
*
Yes
No
Position or Title/Type of Work:
*
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Catapult Industries: Real Estate Loan Submission Form
Please fill out the application below in its entirety. Your changes will not be saved until the application is submitted.
If there is no Co-applicant, skip this page.
Co-Applicant's Name:
First Name
Last Name
SSN:
Date of Birth:
(MM/DD/YYYY)
Marital Status:
Please Select
Single
Married
Divorced
Widowed
Separated
Residency Status:
Please Select
Us Citizen
Permanent Resident
Non-Permanent Resident
Primary Residence:
Street Address
Apartment Number, Suite (Write NA if not applicable)
City
State / Province
Postal / Zip Code
Co-Applicant's Phone Number:
Please enter a valid phone number.
What is your credit score?
Please Select
850-800
799-740
739-670
669-580
579-300
Other
If "other", please describe:
Did you own or rent?
Own
Rent
Number of years at residence:
Employer Name:
Years on Job:
Address of Employment:
Street Address
Apartment Number, Suite (Write NA if not applicable)
City
State / Province
Postal / Zip Code
Business Phone Number:
Please enter a valid phone number.
Monthly Income:
Are you self employed?
Yes
No
Position or Title/Type of Work:
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Catapult Industries: Real Estate Loan Submission Form
Please fill out the application below in its entirety. Your changes will not be saved until the application is submitted.
Real Estate Owned:
Property Address:
Type of Property:
Existing Mortgage:
1.
2.
3.
Message / Additional Info
Agreement & Acknowledgement:
Each of the undersigned specifically represents to Lender and to Lender's actual or potential agents, brokers, processors, attorneys, insurers, servicers, successors and assigns andagrees and acknowledges that: (1) the information provided in this application is true and correct as of the date set forth opposite my signature and that any intentional or negligentmisrepresentation of this information contained in this application may result in civil liability, including monetary damages to any person who may suffer any loss due to reliance upon anymisrepresentation that I have made on this application, and/or in criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United StatesCode, Sec. 1001, et seq.; (2) the loan requested pursuant to this application (the "Loan") will be secured by a mortgage or deed of trust on the property described in this application; (3) theproperty will not be used for any illegal or prohibited purpose or use; (4) all statements made in this application are made for the purpose of obtaining a business purpose mortgage loan;(5) the property will be occupied as indicated in this application; (6) the Lender, its servicers, successors or assigns may retain the original and/or an electronic record of this application,whether or not the Loan is approved; (7) the Lender and its agents, brokers, insurers, servicers, successors, and assigns may continuously rely on the information contained in theapplication, and I am obligated to amend and/or supplement the information provided in this application if any of the material facts that I have represented should change prior to closing ofthe Loan; (8) in the event that my payments on the Loan become delinquent, the Lender, its servicers, successors or assigns may, in addition to any other rights and remedies that it mayhave relating to such delinquency, report my name and account information to one or more consumer reporting agencies; (9) ownership of the Loan and/or administration of the Loanaccount may be transferred with such notice as may be required by law; (10) neither Lender nor its agents, brokers, insurers, servicers, successors or assigns has made any representationor warranty, express or implied, to me regarding the property or the condition or value of the property; and (11) my transmission of this application as an "electronic record" containing my"electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or my facsimile transmission of this application containinga facsimile of my signature, shall be as effective, enforceable and valid as if a paper version of this application were delivered containing my original written signature.Acknowledgement: Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may verify any information contained in thisapplication or obtain any information or data relating to the Loan, for any legitimate business purpose through any source, including a source named in this application or a consumerreporting agency.
I agree that the information herein are true and correct
*
Yes
Applicant's Signature:
*
Co-Applicant's Signature:
Date:
*
(MM/DD/YYYY)
Date:
(MM/DD/YYYY)
Please verify that you are human
*
Submit my application
Should be Empty: