Borrower Info
 Single  Married  Divorced  Widowed
Borrower Address
Yes No
Borrower Mailing Address


Borrower Background
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Borrower Experience
Yes No

List 3 examples of past deals:

Property Type
Purchase date
Purchase Price
Amount Financed
Rehab Budget
Entity Name
Ownership %
Exit
Address
City
State
Zip
Upload HUD
Property Type
Purchase date
Purchase Price
Amount Financed
Rehab Budget
Entity Name
Ownership %
Exit
Address
City
State
Zip
Upload HUD
Property Type
Purchase date
Purchase Price
Amount Financed
Rehab Budget
Entity Name
Ownership %
Exit
Address
City
State
Zip
Upload HUD
Yes No
Yes No

List 3 examples of past deals:

Property Type
Purchase date
Purchase Price
Amount Financed
Rehab Budget
Entity Name
Ownership %
Exit
Address
City
State
Zip
Upload HUD
Property Type
Purchase date
Purchase Price
Amount Financed
Rehab Budget
Entity Name
Ownership %
Exit
Address
City
State
Zip
Upload HUD
Property Type
Purchase date
Purchase Price
Amount Financed
Rehab Budget
Entity Name
Ownership %
Exit
Address
City
State
Zip
Upload HUD
Yes No

Property Type
Purchase date
Purchase Price
Amount Financed
Rehab Budget
Entity Name
Ownership %
Exit
Address
City
State
Zip
Upload HUD
Property Type
Purchase date
Purchase Price
Amount Financed
Rehab Budget
Entity Name
Ownership %
Exit
Address
City
State
Zip
Upload HUD
Property Type
Purchase date
Purchase Price
Amount Financed
Rehab Budget
Entity Name
Ownership %
Exit
Address
City
State
Zip
Upload HUD
Yes No
Yes No
Yes No
Yes No
Yes No
Assets (Include Borrower)

Type

Estimated Value ($)

Amount Owed ($)

Total:

$

$

Total Est. Value

- Total Amt Owed

= Total Net Value

$

- $

= $

Business Entity
Yes No
 

Subject Property Details
$

   

   
Loan Terms
Yes No
Yes No
$
$

$


$
$
 Include All
$
$

%

%

Additional Questions
Yes No
Yes No
Yes No
$
Yes No
Yes No
Yes No
Yes No
Title Info
Insurance Company Info
Escrow Info
HMDA - (Borrower)
Yes No NA
Hispanic or Latino Not Hispanic or Latino
 American Indian  Asian
 Black or African American
 Native Hawaiian or Other Pacific Islander
 White
Male Female
Borrower Employment Information
Weekly   Monthly   Every 2 weeks   Twice a month


Borrower Monthly Income
$
$
$
$
$
$

$

(Borrower)
Tell us more about the deal, your background & why you need this loan?
Terms And Conditions

By checking this box I agree to the terms and conditions. *