Borrower Application
Applicant Name
*
First Name
Last Name
Applicant Email
*
example@example.com
Applicant Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant Phone Number
*
Applicant Date of Birth
*
-
Month
-
Day
Year
Date
Are you a US Citizen
*
Yes
No
Marital Status
*
Please Select
Single
Married
Social Security Number
*
On File with Salt Funding)
Need to submit (this will open an encrypted application after submission)
Employment Information
Employer Name
*
Position/title/type of business
*
Financial Information
Annual Household Income
*
Have you (or any of your businesses) EVER filed Bankruptcy?
*
Yes
No
Please give more information regarding the BK and current status:
Are there any judgements against you or any of your companies?
*
Yes
No
Please give us more information regarding judgement/s:
Are you or any of your companies currently involved in a lawsuit?
*
Yes
No
Please give us more information regarding lawsuit/s and current statu.
Are you presently delinquent or in default on any Federal debt or obligation?
*
Yes
No
Please explain delinquency or default circumstance and current status:
Have you (as an individual or an entity owner) had a foreclosure action started against you?
*
Yes
No
Please explain foreclosure action, provide property address and status:
Bank Name
*
Account Balance
*
Account Balance
Bank Name
Account Balance
Account Balance
Other Liquid Net Worth
*
Please describe
Real Estate Experience (if applicable)
Number of fix-and-flips completed
*
Please only include properties where your name/entity can be verified on title
Any other real estate experience?
*
Purchase Property Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
After Repair Value Estimate
Purchase Price
Estimated Cost of Repairs
Exit Strategy
Sell
Refinance
Other
REQUESTED CLOSING DATE
-
Month
-
Day
Year
Date
Closing Title Company
If known
Title Company Contact Name
If available
Title Company Email
example@example.com
The undersigned specifically acknowledges and agrees that (1) all statements made in the Application are made for the purpose of obtaining a Commercial Loan (s) with SaltFunding, LLC it’s Sources, Agent, Successors, and/or Assigns (2) the Loan is a Commercial Loan used for Business Purpose only and shall be unoccupied and NOT used for Residential Purposes (3) Verification and /or Reverification of any information contained in Application may be made at any time by Salt Funding, LLC it’s Sources, Agents, Successors, and/or Assigns and will rely upon the information provided in this Application and I/we have the continuing obligation to amend and/or supplement the information provided in any of the facts which I/we have represented herein should change, (4) the loan may be transferred to Successors or Assigns of Salt Funding, LLC it’s Sources, Agents, Successors, and/or Assigns without any prior notice to me; (5) Salt Funding, LLC it’s Sources, Agents, Successors, and/or Assigns make no representations or warranties, express or implied, to the Borrower(s) regarding the property, the condition of the property, or the value of the property. CERTIFICATION: I certify that the information provided in this Application is true and correct as of the date(s) set forth opposite my signature(s) and acknowledge my understanding that any intentional or negligent misrepresentation of the information contained in this Application may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 1001, et seg. and liability for monetary damages to SaltFunding, LLC it’s Sources, Agents, Successors and/or Assigns and any other person who may suffer any loss due to reliance upon misrepresentation which I/We have made on thisApplication.
Authorization Signature: I hereby authorize the Salt Funding/or it’s proxy to verify my past and present employment earnings records, bank accounts, stock holdings, and any other asset balances that are needed to process my mortgage loan application. I further authorize the Lender/Broker to order a consumer credit report and verify other credit information, including past and present mortgage and landlord references. It is understood that a copy of this form will also serve as authorization. The information the Lender/Broker obtains is only to be used in the processing of my application for a mortgage loan.
Submit
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