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Schedule a Consultation
(888) 927-6177
Home
Real Estate Investments
Zero Percent Financing
Business Funding
Business Lines of Credit
Short Term Loans
Debt Refinancing Loans
Equipment Loans
Working Capital Loans
Revenue Based Loans
Apply Now
Personal Application
Business Application
Real Estate Application
Affiliates
Resources
FAQ
Contact
(888) 927-6177
REAL ESTATE INTAKE
REAL ESTATE INTAKE FORM
Affiliate Name:
Email:
Client First Name:
Client Last Name:
Phone Number:
Entity:
LLC
CORP
Personal Name
Entity Name:
Entity Ownership:
Sole
Partnership Split
Other
Year Of Incorporation:
State Of Incorporation:
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
New Option
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Loan Product:
DSCR Purchase
DSCR Cashout Refinance
Fix & Flip
Fix & Hold
Ground Up Construction
Raw Land
Residential HELOC
Market Equity Advance Loan
Residential Purchase
Other
Property Type:
Single Family Home (FSH)
Single Family Home Own or Occupied
Residential 1-4 Units
Residential 5-10
Mixed Use
Commercial BLDG/10+ Units
Other
Full Property Address:
Experience-Bought or Sold Properties < 36 Months
Only Primary Residence ( 36 MTHS N/A)
No Real Estate Experience
1-2
3-4
5+
Other
Total Rent Roll (If DSCR Product):
EST Property Value (If Applicable):
Est. Property Tax (If Applicable)
Est Property Insurance (If Applicable)
Date Acquired (If Applicable):
Ownership
Purchasing Property
Owned Outright/No Balance
Mortgage Balance (Put Balance In Notes Below)
Purchase Price (If DSCR Or Residential Loan):
Is Buyer Under Contract?
Yes
No
Funding Amount Requested:
How Soon Needed
ASAP
1-4 Weeks
1-2 Months
3+ Months
Borrower FICO Score:
Bankruptcies
No
Yes
Repossessions
NO
YES
Liens
NO
YES
Are you working with any other brokers?
Yes
No
Is your credit profile unlocked?
Yes
No
Any Additional Info:
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