Referred By *

First Name *

Last Name

Email *

Phone *

Subject Property Address *

City *

State *

Postal code *

Rural Property Location *

Loan Amount Requested *

Purchase *

Cash Out Refinance *

Refinance / Date Purchased *

Refinance - Balance Owed on Property *

Purchase Price / Current Value *

Rehab / Construction Costs *

After Rehab Value / Completion Vale *

Property Type - Residential *

Number of Units *

Approximate Credit Score *

# of Residential Properties Owned *

# of Multifamily 5+ Units Owned *

Residential - Flip Experience - 2 years *

Residential Flip Experience - 3 years *

Multifamily Rehab Completed *

Residential Ground Up Construction Completed *

Multifamily Ground Up Construction Completed *

Liquid Assets Verifiable *

Non Verifiable Assets *

Deal Notes *

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