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 Country

Applicant Phone Number

Area Code Phone Number

Applicant Date of Birth

Date

Are you a US Citizen *

Yes No

Social Security Number *

On File with Salt Funding) Need to submit (this will open an encrypted application after submission)

Employer Name

Position/title/type of business

Annual Household Income

Have you (or any of your businesses) 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:

Bank Name

Account Balance

Bank Name

Account Balance

Other Liquid Net Worth

Please describe

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 Country

After Repair Value Estimate

Purchase Price

Estimated Cost of Repairs

Exit Strategy

Sell Refinance

REQUESTED CLOSING DATE

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. Signature *

Borrower Application

Employment Information

Financial Information

Real Estate Experience (if applicable)