Welcome to ReZamp Lending

Hardmoney App

Please fill out the loan application as completely as possible.
Email or call us at wecare@rezamp.com or (480) 704-4674 with any questions.
Borrower Details
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Primary Residence Address*

Street Address

Street Address Line 2

CityState

Zip Code
Mailing Address (if different that primary)

Street Address

Street Address Line 2

CityState

Zip Code
Annual Income
Liquid Assets
Transaction Details
Subject Property Address*

Street Address

Street Address Line 2

CityState

Zip Code
Transaction Type*

PurchaseRate and Term RefinanceCash-Out Refinance
After Repair Value*
Purchase Price*
Remodel Budget*
Existing Lien Amount*
Requested Loan Amount*
Estimated Closing Date*

MonthDayYear
Upload Purchase Agreement

Cancelof
Borrower/Entity Information
Vesting Type

LLCCorporationIndividual NamesTrustLLPOther
Title will be held in what names?*
If Entity: State of Formation*
EIN/TAX ID*
Exit Strategy
How do you intend to repay the loan?*

Sell the PropertyRefinance the Property
Escrow/Settlement Agent Information
Escrow Company Name
Settlement Agent Name

First NameLast Name
Settlement Agent Email
example@example.com
Settlement Agent Phone
Please enter a valid phone number.
Insurance Agent Information
Company Name
Insurance Agent Name

First NameLast Name
Agent Email
example@example.com
Agent Phone
Please enter a valid phone number.

Declarations/Questionnaire*

	Yes	No
Are you a U.S. citizen?
Do you intend to occupy the property as your primary residence?
Are there any outstanding judgments against you?
Have you been declared bankrupt within the last seven (7) years?
Have you or any other entity of which you were/are a principal been in foreclosure or had any property that was foreclosed upon?
Are you party to lawsuit?
Are you presently delinquent on any federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?
Have you ever been convicted of a felony?
Are you borrowing any money for this real estate transaction (e.g., money for your closing costs or down payment) or obtaining any money from another party, such as the seller or realtor, that you have not disclosed on this loan application?
If this is a Purchase Transaction: Do you have a family relationship or business affiliation with the seller of the property?

Disclosures & Authorization*

	Yes	No
I (“Borrower”) certify and represent to lender (“Originator”) as follows: I hereby declare that I have no intention of making the property (subject property listed in my loan application) my principal residence. Additionally, I declare that I have no intention of utilizing the property as a second home and/or any surviving spouse or family member shall live in the property. I understand that this loan is a business purpose loan and not a household purpose loan. The loan proceeds are intended to be used and shall be used for business purpose only, not for personal use. I represent that I understand the difference between consumer loan for personal purposes and a commercial loan for business purposes. I represent that this loan is not a consumer loan and therefore is not subject to any laws relating to consumer loans under any state or federal laws such as Truth in Lending Act (15 U.S.C. § 1601 et seq.), Real Estate Settlement Procedures Act (12 U.S.C. § 2601 et seq.), GrammLeach Bliley Act (15 U.S.C. §§ 6802–6809), Secure and Fair Enforcement Mortgage Licensing Act (12 U.S.C. § 5101 et seq.), and Homeowners Protection Act (12 U.S.C. § 4901 et seq.). I realize the lender, broker, assignees and successors rely upon this information. I confirm I have read and understand this document. I declare under penalty of perjury the foregoing is true and correct.
By submitting this form, I/we hereby authorize lender to conduct a background and/or credit check. Additionally, the undersigned and each party to this loan, authorizes lender to disclose to any third party, employee, agent or assignee thereof information regarding background and credit experience. I understand that it is a federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements when applying for this mortgage, as applicable under the provisions of title 18, united states code, 1014. I also understand that the lender intends to use the data obtained through the investigation for due diligence purposes only, and shall not disclose such information to any other party.

Should be Empty:

Hardmoney App

Borrower Details

Transaction Details

Borrower/Entity Information

Exit Strategy

Escrow/Settlement Agent Information

Insurance Agent Information