Monday, February 6th, 2012

Residential Hard Money

Who referred you?

Borrower Information

First Name (required)
 

Last Name (required)
 

Company
 

Address
 

Address 2
 

City
 

State

Your Email (required)
 

Your Phone (required)
 

Credit Score
 

Estimated Net Worth
 

Post Resume

Broker Information

 Yes

First Name (required)
 

Last Name (required)
 

Company
 

Address
 

Address 2
 

City
 

State

Your Email (required)
 

Your Cell Phone (required)
 

 Yes No

Subject Property

Address (required)
 

Address 2
 

City (required)
 

State (required)

Zip (required)
 

Property Located In Rural Area  Yes No

Property Type

Number of Units  1 2 3 4

Purpose of Loan (required)

After Repaired Value (est) (required):
 

Requested Loan Amt (required)
 

Equity/Cash That You Have Or Can Bring To The Property?:
 

Sales Price
 

Amount Down
 

Amount Of Renovation Needed (list a number only):
 

Do You Currently Have Property Under Contract?
 Yes No

Close Date
 

Construction Breakdown / Renovation Plan

Estimated Time To Complete Construction / Renovations

Are You Using A Contractor?
 Yes No

Refinance (if applicable)
1st Lien:  
2nd Lien:  

 Sell Refinance

If you sell how do you plan to market and sell property?

If you refinance, with whom and when?

Additional Comments