FIX & FLIP APPLICATION
PERSONAL INFORMATION
First / Last Name
Social Security
Date Of Birth
/
Month
/
Day
Year
Date
Primary Address
Your Personal Residence
Please Select
Own/No Mortgage
Own/Mortgage
Rent
How Long At This Address
Are You A First Time Home Buyer?
Please Select
Yes
No
Phone
E-Mail
example@example.com
Citizen Status
Please Select
US Citizen
Foreign Investor/Lives Outside The US
Foreign National Lives in US Part Time
Foreign National With USA FICO
USA Work Visa Number
Marital Status
Please Select
Married
Single
Credit Score
Yearly Income
Total Cash on Hand to Close Loan
Have you filed for bankruptcy?
Please Select
Yes
No
Date of discharge
/
Month
/
Day
Year
Date
Are you using a Heloc or other type of Line of Credit?
Please Select
Yes
No
Have you had a Foreclosure or Short Sale?
Please Select
Yes
No
Are you current on all your Mortgage Accounts?
Please Select
Yes
No
Are you using your pension fund to fund the loan? If so, please specify
SUBJECT PROPERTY INFORMATION
Property Address
Type of Property
Please Select
Single Family Home
Duplex
Triplex
Quadroplex (4 unit)
5+ Units
Mixed Use
Warrantable Condo
Non-Warrantable Condo
TownHouse
Mobile Home (must be double wide on permanent foundation
Commercial
Total Number of Units
If the property type is Mixed Use, what percentage of the property is Residential?
Do you already own the property?
Please Select
Yes
No
Current Lender
Brief Description of the Work That You Have Completed To Date and Cost Basis
Purchase Price / As is Value
Rehab Amount
After Repair Value - ARV
Yearly Taxes
Yearly Insurance
Monthly HOA Payment
How did you arrive at this After Repair Value (ARV)? If comps--please provide the addresses of the comparable properties
Closing Date
/
Month
/
Day
Year
Date
Est. time to complete
Exit Plan? Sell or Hold
If You Plan To Hold It, What Is The Market Rent For The Property?
Brief Summary Of the Work you Plan on Doing.
Do you have Contingencies on the Contract?
Loan
Legal
Do you have Contingencies on the Contract?
Inspection
Appraisal
Experience That We Can Verify In Your / Your Entity Name
USA (NOT ANOTHER COUNTRY)
# Fix N Flips in Last 36 Months
# Fix n Holds in Last 36 Months
# of Rentals Currently Own
How Many Were Single Family Flips?
How Many Were 2-4 Unit Flips?
How Many Were 5+ Unit Flips? (how many units)
Are You A Licensed GC?
BUSINESS INFORMATION
Company Name
EIN #
State of INC
% of Ownership
Date of Incorporation
/
Month
/
Day
Year
Date
If less than 100% ownership, please add all members--name, email address and % of ownership
Applicants Signature
Todays Date
/
Month
/
Day
Year
Date
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