Gap Funding Intake Form

Gap Funding Intake Form

Complete this form with your project details and documentation to apply for gap funding.
Borrower Information
Borrower Full Name

First NameLast Name
Phone Number

Area CodePhone Number
Email Address
example@example.com
FICO Score
Entity Name
Entity Type
EIN
Property Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Experience - How many completed deals within the last 36 months?
Cross Collateral
Do you have cross collateral?
Cross Collateral Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Funding Request Details
Purchase Price
Rehab Budget
ARV / After-Repair Value
Requested Gap Funding Amount
Liquidity & Reserves Availability (enter the amount in below)
Exit Strategy
Requested Closing Date

MonthDayYear
Date
Who is Your Funding Intake Specialist/Capital Connector/Referral?
Should be Empty:

Borrower Information