Name
*
Suffix
Phone Number
*
E-mail Address
*
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FICO Score
*
450-550
551-600
601-650
651-700
701+
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Do you have any real estate experience?
*
Yes
No
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Property Location
*
Street Address
Street Address Line 2
City
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Kentucky
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South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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Loan Amount
*
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Loan Strategy
*
Line of Credit
Construction
Bridge
Refi
Cash out Refi
Multi-family
Fix & Flip
Short Sale
Foreclosure Bailout
Other
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Seeking Funds
*
Immediately
Within 30 days
More than 30 days
Unsure / Just inquiring
*
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