RHM DCSR Lead Intake Form

DSCR Loan Referral Form
How did you learn about this opportunity?*
Borrower Details
Full Name*

First NameLast Name
Company Name*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Approx. Credit Score*
YesNo
Property Portfolio Overview
YesNo
How many total rental properties do you currently own?*
How many properties are you looking to refinance at this time?*
Subject Property Information

Property to be used for this mortgage/loan
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Property*
YesNo
Number of units in this property
Rental Income/Rent Roll

Please enter rent information for all units in this property.
Total Monthly Rent from All Units*
Signed leasesMarket rent estimateShort-term rental income (Airbnb/Vrbo)
Financial & Loan Details
Estimated Property Value*
Estimated Remaining Loan Balance*
Annual Property Taxes*
YesNo
Desired Loan Amount*
Closing Date*

MonthDayYear
Date
Least out of pocket as possibleLow pointsLower rateLonger term/no extensionsOther
Community BankDSCR LoansTraditional Mortgage Loans (FHA, VA, etc.)Long Term Private or Hard Money LoansNo Debt
Notes or Additional Details
Upon submission of this form, Jessie Johnson or someone else from the Defiance Capital Team will contact you to review this opportunity. Thank you.
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DSCR Loan Referral Form