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Date:

Borrower Name:
Borrower Address:

Deals Completed in your Real Estate Career:	0
	1-5
	5-10
	10-20
	Over 20

Phone Number:
Email Address:

Borrower Occupation:
Borrower Employer:	Indicate "Self Employed" if applicable
Borrower Annual Income:

What is your Credit Score Range? :	700+
	650-699
	600-649
	Under 600

Are there any outstanding judgments or liens against your or any of your business entities? :	Yes
	No

Have you filed personal or business bankruptcy in the past 7 years? :	Yes
	No

Have you been foreclosed upon in the past 7 years (including deed in lieu) :	Yes
	No

Are you currently past due on any personal or business bills? :	Yes
	No

Loan Purpose :	Purchase and Rehab	Refinance With Rehab
	Purchase Only - No Rehab	Refinance - No Rehab
	New Construction	Transaction Funding
	Commercial Property Financing

Property Type :	Residential (Non-Owner occupied)
	Commercial
	Other (Special Use)

Subject Property Information:

Name the Property is or will be Titled in:
Purchase Price :	Enter original price if you already own the property
Current Debt on Property :	Enter 0 if none or if you are purchasing

Construction or Rehab Budget :	Enter 0 if none
Down Payment :	How much cash do you have available to bring to closing?
Desired Loan Amount :	Can be approximate
Estimated After Repair/Stabilized Value :	If a construction or rehab loan request

Exit Strategy :	Sales Of The Property
	Refinance
	Not Yet

Did you speak to a Loan Officer? :	I Don't Know Choose I Don't Know or the Loan Officer Name
	James Melton Choose I Don't Know or the Loan Officer Name
	Bruce Silverman Choose I Don't Know or the Loan Officer Name
	Ken Melton Choose I Don't Know or the Loan Officer Name

Need a proof of funds letter? :	Yes
	No

File Upload - Click "UPLOAD" once you have added all your documents :

Examples: purchase contract, corporate docs, construction budget, BPO, photos, proof of funds for down payment

Agreement of Terms :	I agree that I am applying for a commercial purpose loan.
Digital signature :

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