New Loan Request
Broker Information
New and Existing Brokers
Worked with us before?
*
Yes
No
Name
*
First Name
Last Name
Enter your e-mail
*
example@example.com
Phone Number
Please enter a valid phone number.
Brokerage Name
*
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Loan Information
What is the MAIN use of Funds?
Purchase a Home
Bridge Loan
Renovations - Major/Structural
Pay Down Debt
Renovations - Minor/Cosmetic
Other
What is the MOST LIKELY Exit Strategy
Refinance at Maturity
Sale of Subject Property
Improve Credit
Sale of Non-Subject Property
Gain Employment (Post-Job Loss)
Get a Co-Signer/Co-Borrower
Cash Expected (i.e. Lawsuit, Insurance)
Other
Amount of Funds Needed In-Hand ($)
*
Expected Closing Date
*
-
Day
-
Month
Year
Date
Additional Notes (Anything You Think We Need To Know)
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Property Information
Subject Property
Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Estimated Value of Subject Property ($)
*
Mortgage to Remain on Title ($) - Put $0 If this is a 1st Mortgage
Is there a 2nd Property?
*
Yes
No
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Property Information
2nd Collateral Property
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Estimated Value of Property 2 ($)
*
Mortgage To Remain on Title - 2 ($)
Is there a 3rd Property?
*
Yes
No
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Property Information
3rd Collateral Property
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Estimated Value of Property 3 ($)
*
Mortgage To Remain on Title - 3 ($)
Is there a 4th Property?
*
Yes
No
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Property Information
4th Collateral Property
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Estimated Value of Property 4 ($)
*
Mortgage To Remain on Title - 4 ($)
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Summary
Your Current Loan to Value:
Submit
Should be Empty: