Borrower Information * required
First Name (required)
Last Name (required)
Date of Birth (required)
Your Email (required)
Home Phone (required)
Contact Method ----Mobile PhoneHome PhoneWork Phone
Number of Principals, Including you
Investment Property Address
Investment Property City
Investment Property State
Investment Property Zip
Loan Purpose ----PurchaseNo Cash Out RefinanceCash Out RefinanceConstructionConstruction PermOther
Loan Type ----Fix and FlipBridgeFix and HoldConventionalFHA
Loan Amount Requested
Estimated Construction Cost
After Repair Value
Number of Units
Timeline: Purchase Date to Completed Construction ----1-3 Months3-6 Months6-8 Months8-10 Months10-12 Months12+ Months
Timeline: Purchase Date to Sale Date ----1-3 Months3-6 Months6-8 Months8-10 Months10-12 Months12+ Months
LLC/ Entity Information
LLC/ Entity Name
Type of Entity ----LLCCorporationPartnershipOther
Self Employed ----YesNo
Years in Profession
How did you hear about us? ----Organic Internet SearchMeetup GroupConference/ EventSocial Media PageSocial Media AdvertisementBroker/ AgentPersonal ReferalDirect Mail AdvertisementE-mail AdvertisementOther
Real Estate Investment Experience
How many investment properties have you sold after rehabbing them?
How many investment properties have you rehabbed and held?
Number of Investment properties sold without rehabbing them (i.e., wholesaling)?
How many investment properties do you currently own?
Total number of real estate investment transactions?
Last three (3) documented investment properties sold:
Investment Property Address?
Purchased by (LLC/Entity Name)?
Personal Financial Statement
Cash on Hand & Checking Account(s)
Life Insurance - Cash Surrender Value Only
Stocks & Bonds
401K/ IRA Account(s)
Mortgages on Real Estate
Installment Account (Auto)
Loan on Life Insurance
Cardholder's Phone Number
Card Type ----VisaAmerican ExpressMasterCardOther
Credit Card Number
Card Security Code