Contact Information(Required)
Brokerage Company
Contact Name First Name MI Last Name
Contact number
Alternate Phone Number
Email Address
Do you have an assigned representative
Yes
No
If yes, who is your assigned representative?
Borrower Information(Required)
Borrowers name First Name MI Last Name
Borrowers FICO
Co Borrowers Name First Name MI Last Name
Co-Borrowers FICO
Co-Borrowers Name First Name MI Last Name
Co-Borrowers FICO
Will the title be held under a corporation's name?
If yes, who is the corporations name?
Property Type (Check all what is apply)
Multifamily Retail Center Bar Strip Mall
Self Storage Car Wash Hotel Mixed Use
Bed & Breakfast Club Hospitality Industrial
Automotive Mobile Home Park Warehouse Day Care
Dry Cleaners Storage Nursery Camp Ground
Rooming House Office Bldg Restaurant Light Industrial
Marina Farm Rv Park
Other (please describe)
Subject property
Address
City
State
Zip Code
Total number of Units
Number of buildings
Occupancy %
Owner Occupancy%
Building size
Acreage

Detail Uses of units

Loan Purpose, Occupancy & Type (Check & fill all that apply)
Purchase Refinance Rate & Term Cash Out
Contract closing date
If necessary can an extension be issued, purchase price, to fade out of the application
Yes
No
Purpose of cash out
Is there a baloon payment do
Yes
No
If so baloon payment due date, existing liens 1st and 2nd mtg, cash out, to fade out of the application.

Requested LTV %

Requested CLTV %

Source of second

Requested Rate

Requested Term

Purpose of cash out

Is there a ballon payment due

Yes    No

If so, ballon payment due date

Purchase contract closing date

If necessary, can extension be issued

Yes    No

Property value

Purchase Price or Exixting Loans(1st & 2nd Mtge)

Down Payment

Cash Out or Addtional Financing/CLTV(Stated 90% / Full Doc 95% Max)

Total Loan Amount Requested

Other comments
 
 
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