Borrowers Questionnaire
Investment Bankers Network
Pick One
*
Borrower
Broker/Referral
Transaction Type
*
Purchase
Refinance
Loan Type
Fix and Flip
Bridge
Referral Source Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
How did you hear about us?
*
Facebook
LinkedIn
Instagram
Phone Call
Email Blast
Mailer
Google
Events
Website
Other (Referred by, etc.)
If other, please be more describe
*
Borrower Information
Name
*
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Corp / LLC / Trust Name (If applicable)
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property Information
Subject property address
Type of property
Residential
Commercial
Land
If commercial, please specify property type
*
Occupancy
Vacant
Rental/Investment
Primary Residence
Property Value
What is Zillow's Estimate?
Value Based on
Appraisal
BPO
Comps
Monthly Rental Income?
What is the condition of the property?
A
B
C
Any un-permitted addition structures?
Yes
No
Does the property require major work?
Yes
No
Is the property located in rural area?
Yes
No
Transaction Information
Title vested / will be vested in
Trust
LLC
Corp
Individual
Do the Title Report
Yes
No
Time Sensitive closing? if yes please explain
Have you shopped around for this Loan?
Yes
No
If declined why ?
Borrowers - Credibility
Trimerge Credit Report available?
Yes
No
Date report ran
-
Month
-
Day
Year
Mid FICO
How many properties currently owned
Available Liquid Funds (Personal / Business bank accounts)
Income Type
Self-Employed
W2
Approximately net monthly income
Bankruptcy?
Yes
No
Judgements/Tax Liens
Yes
No
Refinance
Requested Loan Amount
Year Acquired
Original Cost
Amount Invested since acquisition
Property free and clear?
Yes
No
Mortgage Balance (1st)
Name of the Lender
Current Rate
Current Mortgage Payment
Pre-Payment Penalty?
Yes
No
Note Matured?
Yes
No
Maturity date? (if known)
-
Month
-
Day
Year
Last 12 months payment history, are payments current?
Yes
No
If not, how many months behind?
Mortgage Balance (2nd)
Name of Lender
Current Rate
Current Mortgage Payment
Pre-Payment Penalty?
Yes
No
Note Matured?
Yes
No
Maturity date? (if known)
-
Month
-
Day
Year
Last 12 months payment history, are payments current?
Yes
No
If not, how many months behind?
Cash out amount? (if applicable)
Use of Funds
If there are more liens on the property, please describe them below:
Purchase
Purchase Price
Down Payment (excluding fees & closing cost)
Seller Carry in 2nd position amount (If applicable)
Requested Loan
Escrow and Title Amount Opened?
Yes
No
Date of Escrow Opened
-
Month
-
Day
Year
Close of Escrow Date
-
Month
-
Day
Year
Amount of Earnest Money Deposit in Escrow
Regular / Shortsale / REO / Probate/ Non Arms Length?
Fix & Flip Loans
Purchase Price / As Is Value?
Rehab Budget
After Repair Value
How many flips completed in the last 5 years
Summary of the transaction & expectations.
*The information provided above is for pre qualification purposes. This is not a commitment to lend.
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