Loan Application

Loan Application

Note: If you are a partnership, or applying with a co borrower, please have the Co- Borrower fill out the corresponding section of this application.
Borrower's Name or LLC name: (if an LLC, please provide member(s) Co-Borrowers will be added later.*
Borrower's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date of Birth:*

MonthDayYear
Date

Borrower or LLC: Employment Information *
If Self employed, is the company Incorporated?*
Year:*

Borrower or LLC: Assets (Please enter balances, not account numbers)*

Borrower or LLC: Liabilities*

	Monthly Payment	Current Balance Due
Mortgage/Rent
Alimony/ Child Support
Car/ Truck/ Boat Loan
Personal Loan
Health Insurance
Credit Cards
HELOC

Primary Home Utility Expenses*

**Properties listed on this page must include your primary residence if you have a mortgage on the property. If you currently rent, you do not need to list it here. List all real estate investment properties owned, which are from the figure listed previously under Assets, Real Estate Investments.
Schedule of Real Estate Owned*
** To find the cash flow on the property, take the monthly rental income and subtract the monthly mortgage, insurance, taxes, and utilities. If there is no monthly rental income, the cash flow will be negative and is the result of adding together the monthly mortgage, insurance, taxes, and utilities.

Is there a co- borrower?*

Co- Borrower's Name or LLC name: (if an LLC, please provide members) *
Co- Borrowers Address*

Street Address 2

CityState / Province

Postal / Zip Code
Co- Borrowers Phone Number*
Please enter a valid phone number.
Co-Borrowers Email*
example@example.com
Co- Borrowers Date of Birth:*

MonthDayYear
Date
Co- Borrower or LLC: Employment Information*
If Self employed, is the company Incorporated?*
Year:*

Assets: Co-Borrower, or LLC: Please Enter Balances not Account Numbers*

Co-Borrower or LLC: Liabilities*

	Monthly Payment($)	Current Balance Due($)
Mortgage/Rent($)
Alimony/ Child Support($)
Car/ Truck/ Boat Loan($)
Personal Loan($)
Health Insurance($)
Credit Cards($)

Primary Home Utility Expenses*

**Properties listed on this page must include your primary residence if you have a mortgage on the property. If you currently rent, you do not need to list it here. List all real estate investment properties owned, which are from the figure listed previously under Assets, Real Estate Investments.
Schedule of Real Estate Owned*
** To find the cash flow on the property, take the monthly rental income and subtract the monthly mortgage, insurance, taxes, and utilities. If there is no monthly rental income, the cash flow will be negative and is the result of adding together the monthly mortgage, insurance, taxes, and utilities.

Address: (Property to be financed)*

Street Address

Street Address Line 2

CityState

Zip Code
Property Type?*
Property to be financed*
Requested Closing Date:*

MonthDayYear
Date
Monthly Expenses on Property to be Financed: *

Exit Plan: Refinancing?*

Exit Plan
Refinance Contact:*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Approximate Refinance Date*

MonthDayYear
Date

Selling?*

Realtors Information
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Approximate date the property will be on the market:*

MonthDayYear
Date
Estimated Asking Price($):*

Declaration:

If Borrower is proposing to refinance, a recent credit report and income verification may be required.

I (We) agree that the financial information provided along with assets, personal information, and liabilities provided is an accurate statement of my current financial status.

I (We) have read and understand the above statements and consent to the use of disclosure of the personal data and information I (We) provide as outlined above:

AS PART OF THIS APPLICATION, PLEASE EMAIL BANK STATEMENTS TO (Northeasternprivatelenders@gmail.com) DATED WITHIN 2 WEEKS FOR ALL ACCOUNTS LISTED ON THIS APPLICATION.
I have read the above statements and agree.*
Should be Empty: