Borrower Application

If you are interested in obtaining a private loan please fill out the Borrower Application below. All information submitted herein below is strictly confidential:

Application Information
Name *
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone - ### - ### ####
Email
FICO Credit Score
Are you presently in bankruptcy?
Yes No
Loan Information
Amount of Loan
Purpose of loan
Use of Proceeds
Exit/Payoff Strategy
Description of Property
Address of Collateral
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Type of Collateral
Description of Property
When was the Property Purchased?
What was the purchase price? $ . Dollars Cents
Liens on Property
Total Amount of Liens on Property
Present Value of Property
Anticipated Value of Property (if construction loan)
Gross Revenue generated from Property (if apartment or rental property)
Annual Operating Expenses (if apartment or rental property)
How do you intend to carry the debt service, i.e.
Please explain how you intend to afford the monthly loan payments?
Comments

Borrower Application

Borrower Application

Application Information

Loan Information

Description of Property