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DKC – New Loan Application Form
"
*
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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)
Reference Information
Reference 1:
Reference Full Name
*
Relation
— Select One —
Immediate Family
Friend
Business Associate
Phone
*
Email
*
Reference 2:
Reference Full Name
*
Relation
— Select One —
Immediate Family
Friend
Business Associate
Phone
*
Email
*
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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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
Are you self employed?
Yes
No
Employment Information
Employer Name
*
Phone
*
Employer Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
What do you do for living?
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
Property held in the name of:
1
FULL NAME
%OWNERSHIP
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 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
Multifamily
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:
*
Upload Project Photos
Drop files here or
Select files
Accepted file types: jpg, jpeg, png, heic, Max. file size: 10 MB, Max. files: 10.
Jpg, Jpeg, Png, HEIC Image types are accepted (upto 10 photos)
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.
DKC – New Loan Application Form
"
*
" indicates required fields
Step
1
of
3
33%
Borrower information & Declarations
Borrower Information:
Full Legal Name
*
First
Last
Social Security Number:
*
Date of Birth:
*
MM
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28
29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
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)
Reference Information
Reference 1:
Reference Full Name
*
Relation
— Select One —
Immediate Family
Friend
Business Associate
Phone
*
Email
*
Reference 2:
Reference Full Name
*
Relation
— Select One —
Immediate Family
Friend
Business Associate
Phone
*
Email
*
Co-Borrower information
Co-borrower Name
*
First
Last
Co-borrower Social Security Number
*
Co-borrower Date of Birth
*
MM
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13
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16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
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
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
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
Are you self employed?
Yes
No
Employment Information
Employer Name
*
Phone
*
Employer Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
What do you do for living?
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
Property held in the name of:
1
FULL NAME
%OWNERSHIP
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 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
Multifamily
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:
*
Upload Project Photos
Drop files here or
Select files
Accepted file types: jpg, jpeg, png, heic, Max. file size: 10 MB, Max. files: 10.
Jpg, Jpeg, Png, HEIC Image types are accepted (upto 10 photos)
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
*
Phone
This field is for validation purposes and should be left unchanged.