RFG CAPITAL HM APPLICATION

DATE

MonthDayYear
Date
Borrower Name
Current Address
Phone number

Area CodePhone Number
Email address
example@example.com
Co Borrower Name
Co Borrower Phone Number

Area CodePhone Number
Co Borrower Current Address

Check if same address as above
Co Borrower Address, if different than above
Co Borrower Email address
example@example.com
Subject Property Address, City, State, Zip:
County
State
Property Type:

PrimarySecondaryInvestmentSingle Family DetachedInvestor form required? Check if YESDisclosures needed? Check if YESOther
Select the Loan Type of Interest

Residential Fully Amortized (Owner Occupied)Residential Interest Only (Non Owner OccupiedBridge LoansConstruction LoansCommercial (Fixed Rate or Interest Only)
Loan Purpose

PurchaseRefinanceOther
Lien Position

1st2nd
Length

6 months, no payments, $995 processing, 2% origination, 12.99% interest6 months, no payments, $995 processing, 1% origination, 14.99% interest6 months, no payments, $995 processing, $1,500 origination, 17.99% interest6 months, no payments, $995 processing, 1% origination, 17.99% interest (2nd lien pos)12 months 1st lien pos., interest only payments, $995 processing, 2% origination, 14.99% interest12 months 2nd lien pos., interest only payments, $995 processing, 2% origination, 17.99% interest
Estimated Appraised Value
Loan Amount Requested
Desired Funding Date

MonthDayYear
Date
Exit from loan:

SaleRefiOther
Special Inst
*Document Prep & Lender Doc fees are typically collected in a minimum of 24hrs prior to funding Are you able to pay for this amount prior to funding?*

YESNO
Title Company Contact information: Agent Name
Company
Email address
example@example.com
Phone number

Area CodePhone Number
Homeowners Insurance Agent:
Agent Name
Policy Number
Company
Email address
example@example.com
Phone number

Area CodePhone Number
Please indicate in Notes if title insurance is required and any additional conditions that will need to be met for funding
Please tell us who referred you:
Please share any additional comments or context. Our team will be in touch with you promptly:
Should be Empty:

Homeowners Insurance Agent: