Loan Request Form

* Required Field

Loan Information
 
* Desired Loan Amount
*

* *




Contact / Borrower Information


* Name
*
Address
City
State
Zip
* Phone
*
Fax
E-mail







Notes to Contact/Borrower Information





Property Information


* *

Property Name
Property Address
Property City
Property State
Property Zip
Year Built
Year Renovated
Property Quality/Condition
Number of Units/Tenants
Total Square Feet
* Estimated Market Value
(Contract price if acquisition)
*

Existing Financing Balance

 

* Required Field

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