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Contact Name
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First
Last
Who's filling out the form?
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Borrower
Mortgage Broker
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Developer
Employee Of ..........
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Armed Forces Americas
Armed Forces Europe
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State
ZIP Code
Project Name
*
Address of Project/Property
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Type of Property
Agricultural or Ranch Property
Apt Building / Multifamily Dwelling
Assisted Living Facility
Auto Dealership/Used Car Lot
Auto Repair
Bed & Breakfast Inn
Bowling Alley
Casino
Church
Commercial or Retail Building
Congregate Care Facility
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Duplex, Triplex, or Fourplex
Gas Station
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Industrial Building
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Land
Marina
Mixed Use Property
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Parking Garage
Please Choose
Rental Home Portfolio (5+)
Residential Care Home
Residential Condo
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Residential Subdivision
Restaurant
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Single Family Residence
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Special Use Property
Gross Rentable Area
square feet
Net Rentable Area
square feet
Number of Units
Number of Vacancies
Vacancy Rate For Area
Leave blank if unsure
Describe Property
*
Include size, age, building material, layout, type and conditions of improvements, land area, access, parking, and any other pertinent or appropriate information
Curb Appeal
Run Down Old Building in Low Income Area
Average Building in a Low Income Area
Well Maintained Building in a Low Income Area
Older Building in a Middle Income Area
Average Building in a Blue Collar, Middle Income Area
Average Building in a White Collar, Middle Income Area
Well Maintained Building in Upper
Brand New Building in Average Neighborhood
Brand New Building in Upper
Brand New Building on the Richest Street in Region
I Don't Know
Age of Property
Years Since Last Renovation
Amount of Loan Request
*
Loan Type
*
First Mortgage
Construction/Rehab
Bridge Loan
Mezz Loan Stabilized Property
Mezz Loan Construction/Rehab
Second Mortgage
Additional Loan Type
SBA Loan (must be 51% owner occupied)
USDA Business & Industry Loan (Rural Areas only. Please uncheck the SBA checkbox above.)
Bridge Loan (very fast, short term, more expensive loan)
Hard Money
Business Occupies Part of Property
Loan Purpose
Purchase
Refinance
Cash Out Refinance
Acquisition & Development
Development (already own property)
Acquisition & Rehab
Total Current Debt On Property
Date Purchased
Date Format: MM slash DD slash YYYY
Contract Purchase Price
For purchase only NOT refinance.
Loan To Cost
Is There A SIGNED Contract?
Yes
No
Deposit in place
As Is Value of Collateral
Loan To Value
based on as is value of collateral
Completed Value
Loan To Future Value
Amount of Down Payment
Desired Rate
Desired Amortization
Interest Only
15 yr
20 yr
25 yr
30 yr
Desired Term
12 months
24 months
3 yrs
5 yrs
7 yrs
10 yrs
15 yrs
20 yrs
25 yrs
30 yrs
Use Of Funds
Pay Existing Lien(s)
Property Acquisition
Cashout
Land Development Costs
Direct Construction/Rehab Costs
Indirect Construction/Rehab Costs
Other
Total
Source Of Funds
Loan 1st Mtg
Loan 2nd Mtg
Mezzanine
Funds Invested by Owner
Funds Invested by Others
Tax Credit 1
Tax Credit 2
Other Source A
Other Source B
Total Sources
Borrower 1
*
First
Last
Type of Entity
*
Individual
Corporation
LLC
Limited Partnership
S Corp
Trust/Estate
Other
Enter Name of Entity
Occupation
Annual Income
*
Net Worth
*
Less than $250,000
$250,000 to $500,000
$500,000 to $1,000,000
$1,000,000 to $2,500,000
$2,500,000 to $5,000,000
$5,000,000 to $7,500,000
$7,500,000 to $10,000,000
$10,000,000 to $15,000,000
$15,000,000 to $20,000,000
More Than $20,000,000
Credit Score (if known)
Credit
I Don't Know
Perfect
Very Good
Good
Re-established after bankruptcy
Slow Pay
Poor
Bankruptcy discharged within 7 years
In Chapter 11 bankruptcy
In Chapter 7 bankruptcy
Borrower 2
First
Last
Type of Entity
Individual
Corporation
LLC
Limited Partnership
S Corp
Trust/Estate
Other
Enter if different from Borrower 1
Enter Name of Entity
Occupation
Annual Income
Net Worth
Less than $250,000
$250,000 to $500,000
$500,000 to $1,000,000
$1,000,000 to $2,500,000
$2,500,000 to $5,000,000
$5,000,000 to $7,500,000
$7,500,000 to $10,000,000
$10,000,000 to $15,000,000
$15,000,000 to $20,000,000
More Than $20,000,000
Credit Score (if known)
Credit
I Don't Know
Perfect
Very Good
Good
Res-established after bankruptcy
Slow Pay
Poor
Bankruptcy discharged within 7 years
In Chapter 11 bankruptcy
In Chapter 7 bankruptcy
Annual Property Operating Data
Actual Gross Income
Use actual data for purchase and refinance (not scheduled)
Scheduled Gross Income
use for construction or rehab requests
Other Income
(laundry, parking, etc.)
Other Scheduled Income
Expenses
Detail
Amount
You may add more Expenses by clicking (+) to detail. ex taxes, insurance, repairs, utilities, reserves etc
Scheduled Expenses
Detail
Amount
You can add more Scheduled Exp by clicking (+). ex taxes, insurance, repairs, utilities, reserves etc
Actual NOI
Scheduled NOI
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