Loan Quote Request Form

Loan Quote Request Form
Application Date

MonthDayYear
Date
Applicant Details
Full Name

First NameLast Name
Phone Number
Email
example@example.com
Subject Property

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Ownership Status

I own the property free and clear (no existing mortgage)I have a loan on the property (still paying a mortgage)
Total Payoff Amount
Estimated Credit Score
Estimated Property Value
Desired LTV %
Cashout or Rate and Term

CashoutRate and Term
Annual Taxes (Estimated)
Annual Insurance
Date Renovations Finished (Or Will Finish)
Tenant Occupancy Status

The property is currently occupied by a tenantThe property is vacantThe property is under renovation and is not rent-ready
Amount Of Time A Tenant Has Been Present
Should be Empty:

Applicant Details