Section 1: Who's Filling This Out
Referral Partner Name
First Name
Last Name
Referral Partner Email
example@example.com
Referral Partner Phone Number
Please enter a valid phone number.
Market / Region
Main Point of Contact
Yes
No
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Section 2: Referral Partner
Role
Borrower
Commercial Banker / Lender
Commercial Real Estate Broker
Loan / Mortgage Broker
Residential Realtor or Loan Officer
CPA / Accountant
Attorney
Other
How do you know the borrower?
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Section 3: Borrower Info
Borrower Full Name
First Name
Last Name
Business Name (if any)
Borrower Phone
Please enter a valid phone number.
Borrower Email
example@example.com
Citizenship
US Citizen
Green Card
ITIN
US Citizen Other
Credit Estimate
Excellent
Good
Fair
Poor
Unknown
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Section 4: What Are They Trying to Do?
Select all that apply
Buy a commercial building (owner-user)
Buy an existing business
Refinance/restructure a business
Buy a rental property (triplex or larger)
Buy retail, office, or industrial property
Sell a business or building
Just exploring
Other
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Section 5: Deal Details (if applicable)
Property Type
Estimated Purchase Price $
Estimated Down Payment $
Monthly Gross Rent $
% of Property Owner-Occupied
Property Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Business Industry
Years in Operation.
Gross Revenue (12 mos) $
Net Profit (12 mos) $
Employees
Yes
No
If yes, how many?
Acquisition?
Yes
No
Seller Carry?
Yes
No
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Section 6: Liquidity & Real Estate
Own other real estate?
Yes
No
If yes, list addresses & equity
Liquid Assets Estimate $
Comfortable with 10%+ down?
Yes
No
Not Sure
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Section 7: Notes & Files
How did this conversation come up?
Live deal or future opportunity?
Any red flags or concerns?
Can we contact borrower directly?
Yes
No
File Attachments
Browse Files
Drag and drop files here
Choose a file
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NOTES
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