Vaglica Group Intake Form

Borrower Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Borrower Address*

Street Address

Street Address Line 2

CityState

Zip Code
FICO*
Birth Date*

MonthDayYear
Date
Borrowing Entity
How many members in the entity?
How many investment properties do all members own?
Properties sold in the past 3 years?
Members liquidity estimate?
Property Information
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Property Type*
PurchaseRefinance
Short (12-24 Months)Long (30 Year)
ConstructionRenovation
Purchase Specific Details
Purchase Price?*
What is the contracted closing date?*

MonthDayYear
Date
Refinance Specific Details
Original Purchase Price?
When Was the property purchased?

MonthDayYear
Date
Current Value?
How much has been spent on improvements?
Current amount owed?
YesNo
Project Details

Skip if there is no renovation or construction being done.
Total Budget?
Months Until Completion?
Expected ARV?
SaleRefinance
Rental Property Details

Skip if you are requesting short term loan.
Property Monthly Income?
Property Annual Taxes?
Property Annual Insurance?
Property Annual HOA?
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