CREDIT APPLICATION

CREDIT APPLICATION
Date*

MonthDayYear
Date
Name*

First NameMiddle NameLast NameSuffix
Phone Number*

Area CodePhone Number
Email*
example@example.com
Property Address*

Street Address

Street Address Line 2

CityState

Zip Code
How Many Units*
Purchase Price*
Yearly Property Taxes.*
Yearly Insurance Estimate*
As Is Value*
ARV*
Type Of Funding*

FIX & FLIPREFISBAPERSONAL LOANDSCROther
Residence Type*

SFRMulti-family 1-4Multi-Family 5+Commercial BuildingMix-Use
How Many Properties have you owned in the Past 3 Years*

Is the property Rented?

YesNo
Monthly Rent Collected.
Are you Licensed General Contractor*
Are you a Licensed Realtor*
Have you had filed for any of these in the last 5 yrs*

BankruptcyForeclosureMortgage LateN/A
FICO Estimate All Three Bureaus*
I confirm the information provided is accurate to the best of my knowledge. I understand this is a pre-qualification request, not a formal application or funding guarantee. I consent to be contacted regarding this request.*

Yes
Should be Empty: