BORROWER APPLICATION

IMPORTANT NOTICE

THIS APPLICATION IS FOR FINANCING WHICH IS STRICTLY FOR BUSINESS, INVESTMENT, OR COMMERCIAL PURPOSES ONLY AND IS NOT FOR PERSONAL, HOUSEHOLD, OR FAMILY USE AS IS DEFINED IN THE LAWS OF THE UNITED STATES OF AMERICA AS THEY NOW EXIST.

Business / Entity Name

Entity Type

State of Organization

Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Primary Residence Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mailing Address (if different from Business Address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Investor's Title within Borrowing Entity

Investor Full Legal Name

First NameLast Name

Email Address

Cell Phone

Area CodePhone Number

Home Phone

Area CodePhone Number

Mailing Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Have you filed for bankruptcy within the past seven (7) years?

Are there any outstanding judgments against you?

Are you currently a party to a lawsuit?

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, short sale, or judgment?

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation or bond?

Have you ever been convicted of a felony?

Are you a U.S. citizen?

Are you self-employed?

What type of business do you own / manage?

Name of Employer / Business

Position / Title / Type of Business

Annual Adjusted Gross Income - Current Tax Year (estimate)

Annual Adjusted Gross Income - Previous Tax Year

Total Assets (estimate)

Total Liquid Assets (estimate)

Total Liabilities (estimate)

Credit Score

Enter your most recent or estimated credit score

Do you have experience buying and selling real estate?

How many years of experience?

Total number of real estate investment projects (or "fix & flips") completed?

Real estate investment projects or "fix & flips" completed in last 12 months?

Do you have any investment projects or "fix & flips" currently in progress?

How many "fix & flips" / projects are currently in progress?

Do you own any investment properties?

How many investment properties do you own?

How many of your investment properties are rented?

Please provide below the property addresses for any recently completed or currently listed investment projects (or "fix & flips")

Are you a member of an investment group?

Name of investment group?

LENDER: Bell Rock Income Fund 1, LLC (or its assigns)

APPLICANT

First NameLast Name

CO-APPLICANT

First NameLast Name

INVESTMENT PROPERTY ADDRESS (if available)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Applicant hereby acknowledges and agrees that the following statements are true:

THE FINANCING FOR WHICH THIS APPLICATION IS COMPLETED IS FOR BUSINESS, INVESTMENT, OR COMMERCIAL PURPOSES ONLY AND IS NOT FOR PERSONAL, HOUSEHOLD OR FAMILY USE AS DEFINED IN THE LAWS OF THE UNITED STATES AS THEY NOW EXIST.

Notwithstanding that the property for which this financing application is completed may consist of single or multi-family structures ultimately used for residential purposes by an end buyer, I/we am/are purchasing the property for commercial purposes as part of my/our business and for the purpose of making a profit.

Any provisions relating to protections, rights, obligations or other matters relating to financing made for personal, household or family use are not applicable to this commercial purpose loan.

This disclosure is made to induce Lender to provide financing secured by a deed of trust on the property described above and I/we agree that Lender would not provide such financing if the facts were contrary to those contained in this disclosure.

Applicant Signature

Date

Real Estate Investor Application

BORROWING ENTITY OVERVIEW

INDIVIDUAL INVESTOR INFO

INVESTOR EXPERIENCE

APPLICANT'S COMMERCIAL PURPOSE DISCLOSURE