Referred By
Please Select
DAVID DIXON
MIKE BARNARD
TJ BISCEGLIE
FREDDY DUARTE
TODD EVANS
PETE GUARENDI
BRANDON HENRY
TIA MCSWAIN
MARCUS MULLINGS
ARCHIE NAIR
DAVID NEWBY
MATT SMITH
HOWARD STOKES
JOHANN TCHETCHOUA
PATRICK YODER
Borrower
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Entity Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Entity EIN
Phone Number
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Date of Birth
Marital Status
Credit Score
Assets
CHECKING
Assets
SAVINGS
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PLEASE UPLOAD 3 MONTHS BANK STATEMENTS SHOWING LIQUIDITY
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Subject Property Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property Type: (ex. Duplex, Triplex, Quad, Single Family, Condo, Townhouse)
Year Built
Property Square footage
Annual Tax Amount
Annual Insurance Cost
Annual Association Costs
Loan Type
Please Select
PURCHASE
REFINANCE
GROUND UP CONSTRUCTION
Loan Purpose
Please Select
FIX N FLIP
BUY N HOLD
FIX TO RENT
REFINANCE RATE AND TERM
REFINANCE CASH OUT
GROUND UP CONSTRUCTION
Purchase Price (if purchase)
Rehab Costs (if applicable)
As-Is Value (if applicable)
Payoff (if refinance)
After Repair Value
Closing Date
Exit Strategy
# of properties completed in the last 12 months (must be in sponsor name or entity)
# of properties completed in the last 3 years (must be in sponsor name or entity)
# of total years of fix & flip experience
ADDITIONAL INFORMATION
Submit
TRIPLE A FINANCIAL SERVICES, LLC
PURCHASE AND REFINANCE QUESTIONNAIRE
Should be Empty: