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Step
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3
33%
Borrower information & Declarations
Borrower Information:
Full Legal Name
*
First
Last
Social Security Number:
*
Date of Birth:
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Phone
*
Email
*
Primary Residence
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Mailing Address Same as Residential Address?
*
Yes
No
Mailing Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Marital Status
*
-- Select Marital Status --
Single
Married
Divorced
Spouse Name
*
Are you working with a loan consultant?
*
--Select One--
Caleb Delgado
Mike Jones
Enrique Bello
David Clemens
Gretchen Mitchell
Kade Burley
Austin Hughes
Kyle Clemens
None
How did you hear about us?
*
--Select Source--
Search Engine (Google, Bing, Ask, Duckduck go, etc)
Email
Referral
Social Media (Facebook/Instagram, LinkedIn, etc)
Other
Name of the Referrer
*
If you have Co-borrower(s), Enter how many
*
Skip, if you don't have co-borrower(s)
Co-Borrower information
Co-borrower Name
*
First
Last
Co-borrower Social Security Number
*
Co-borrower Date of Birth
*
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Co-borrower Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Co-borrower Email
*
Co-borrower Phone
*
2nd Co-Borrower information
Co-borrower Name
*
First
Last
Co-borrower Social Security Number
*
Co-borrower Date of Birth
*
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YYYY
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2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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2006
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2004
2003
2002
2001
2000
1999
1998
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1996
1995
1994
1993
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1921
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Co-borrower Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Co-borrower Email
*
Co-borrower Phone
*
Declarations
Are there any outstanding judgments against you?
*
Yes
No
Have you declared bankruptcy within the last 7 years?
*
Yes
No
Have you had property foreclosed upon or given title of deed in lieu thereof in the last 7 years?
*
Yes
No
Are you party to a lawsuit?
*
Yes
No
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure or judgment?
*
Yes
No
Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?
*
Yes
No
Are you obligated to pay alimony, child support, or separate maintenance?
*
Yes
No
Is part of the down payment borrowed
*
Yes
No
Are you a co-maker or endorser on a note?
*
Yes
No
Are you a US Citizen?
*
Yes
No
Are you a permanent resident alien?
*
Yes
No
Do you intended to occupy the property as your primary residence or any other residence?
*
Yes
No
Please provide explanations below if you answered YES to any of the above questions (excepting the question regarding US Citizenship)
*
Personal Financials
Estimated FICO (optional)
-- Select FICO --
0 to 600
601 to 650
651 to 700
701 to 750
750 +
Will not result in a hard credit pull.
Estimated Net Worth
Are you applying as Individual or Entity?
*
Individual
Business Entity
Entity Information
Mortgage loans may be extended to borrowers as individuals or to business entities such as LLCs, partnerships, corporations as well as some types of Trust. Please check one of the boxes below, and if the selection is “Entity," please fill out the tables below. Note that any individual borrower to the mortgage loan or >25% owner of the borrowing entity must fill out one of the following Borrower Info & Declaration Pages and sign a guaranty upon close of loan. If the tables below do not apply or there are less than four qualifying entity owners, please leave such sections blank.
Entity Name:
*
Entity Type(select one)
*
--Select Entity Type --
LLC
Corporation
Partnership
Trust
Tax ID:
*
State Filed:
*
Good Standing
*
Entity Address:
*
Property Held in Name of:
1
FULL NAME
%OWNERSHIP
Property Information
Please fill out below for the subject property you are seeking financing for:
Property Street Address:
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Estimated Value:
*
Number of Units:
*
Property Type (Select one)
*
Single Family
Commercial/Mixed-Use
Mobile/Manufactured Home
Land
Condo
Rental Income (Annual):
*
Property Insurance (Annual):
*
HOA Fees (Annual):
*
Contact to Access Property:
*
Year Built:
*
Vacant Y/N?
*
Yes
No
Are you working with Title Company?
*
Yes
No
Title Company Information & Contact:
Title Company Name:
*
Email:
*
Phone Number:
*
Contact
*
Loan Request
Loan Amount Request:
*
LTV Requested:
*
Loan Product Request:
*
-- Select loan product --
Fix and Flip
Fix and Lease
Refinance
New Construction
Non Recourse
Manufactured Mobile Home
Capital Markets/DSCR
Please complete this section if loan is an Acquisition:
Purchase Price:
Expected Closing Date:
Please complete this section if loan is an Refinance:
Current Debt Outstanding:
*
Current Debt Interest Rate:
*
Current Debt Monthly Payment:
*
Current Debt Maturity Date:
*
Property Purchase Date:
*
Property Purchase Price:
*
Documented Rehab $ Last 12 Mo.:
*
Date Property Last Listed for Sale:
*
Briefly Describe the purpose of this loan and your project
*
Current Real Estate Schedule
Please add rows if there are more than 1 properties
1
Property Address
Type of Asset
Rental Income
Amount of Debt on Property
Estimated Value
Date Purchased
Real Estate History (Flips) Experience
Please add more rows if needed
1
Property Address
Amount Paid
Date Purchased
Date Sold
Profit Made
Consent
*
I hereby certify that the above statements and additional information are true and correct.
Authorization and Consent:
I submit this application to become qualified and approved for a loan for the purposes indicated above. I authorize the loan originator to share this application with any successors and/or assigns they deem necessary. I hereby attest that all the information I have provided is true and accurate to the best of my knowledge.
Signature of Principal/Borrower/Guarantor
*
Signature of Co-Principal/Co-Borrower/Co-Guarantor
*
Signature of 2nd Co-Principal/Co-Borrower/Co-Guarantor
*
Email
This field is for validation purposes and should be left unchanged.