Lead Intake Form
How did you learn about this opportunity?
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Please Select
REIA Hard Money/Dan Farsht
Google
Facebook
Other
Borrower Details
Full Name
*
First Name
Last Name
Company Name
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Approx. Credit Score
*
If your credit is below 680, are you open to credit coaching?
*
Yes
No
Property Portfolio Overview
Do you currently own any investment/rental properties?
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Yes
No
How many total rental properties do you currently own?
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How many properties are you looking to refinance at this time?
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Subject Property Information
Property to be used for this mortgage/loan
Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Property
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Please Select
Single-Family
Duplex
Triplex
Fourplex
5+ Unit (Commercial Resident)
Short-Term Rental
Other
Is the property currently rented?
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Yes
No
Number of units in this property
Please Select
1
2
3
4+
Rental Income/Rent Roll
Please enter rent information for all units in this property.
Total Monthly Rent from All Units
*
Are these rents based on...
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Signed leases
Market rent estimate
Short-term rental income (Airbnb/Vrbo)
Financial & Loan Details
Estimated Property Value
*
Estimated Remaining Loan Balance
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Annual Property Taxes
*
Do you have Annual Hazard Insurance?
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Yes
No
Desired Loan Amount
*
Closing Date
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-
Month
-
Day
Year
Date
Your Goal With This Loan
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Least out of pocket as possible
Low points
Lower rate
Longer term/no extensions
Other
How have you financed rentals in the past?
*
Community Bank
DSCR Loans
Traditional Mortgage Loans (FHA, VA, etc.)
Loan Term Private or Hard Money Loans
No Debt
Notes or Additional Details
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