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Fillable Application in PDF
Fillable Application PDF- Spanish Version

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Client Info

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Q+A

Inc & Exp

Hardship

File Type

Type name in the box to select File Type(s).

What kind of program are you looking for?

Borrower Info

First Name

Last Name

Borrower Email

Please Wait...

Date Of Birth

Social Security Number

Home Phone

Cell Phone

Fax

Cell Carrier

Marital Status?

Single Married Divorced Widowed

Date of Marriage

Date of Divorce (If applicable)

Maiden Name

Full name of Spouse if not on mortgage

Credit Score Range

Mid Fico Score

Experian Score

Equifax Score

Transunion Score

Yes No

Preferred Communication

Is there a Co-borrower?

Alt. Phone #

Work Phone #

Subject Property Details

Subject Address

Subject City

Subject State

County

Subject Zip Code

Subject Present Occupancy

Subject Property Type

Subject Property

Present Occupancy

Are taxes escrowed?

Is Insurance escrowed?

Home value? (As-Is)

$

Zillow value

Get Zillow Value

Borrower Address

Address

City

State

Zip Code

Length of time at the property

Has the borrower resided at the present address for less than two years?"

Yes No

Rent or Own

Business Entity

Do you have a business entity created for this transaction?

Yes No

Entity Name

Entity Type

EIN #

Organizational Ref #

Address

City

State

Zip Code

State Of Formation

Date Of Formation

Trade Name

Cross-corporate Guarantor

# Of Employees

Gross Annual Revenues $

Website Address

Business Description

Is the billing address the same as above?

Billing Address

Billing City

Billing State

Billing Zip Code

Members/Officers

(If borrower does not own 100% of entity, list additional members/officers)

Name

Title

% of Ownership

%

Address

Phone

Cell

SSN

DOB

Email

Name

Title

% of Ownership

%

Address

Phone

Cell

SSN

DOB

Email

Name

Title

% of Ownership

%

Address

Phone

Cell

SSN

DOB

Email

Name

Title

% of Ownership

%

Address

Phone

Cell

SSN

DOB

Email

Name

Title

% of Ownership

%

Address

Phone

Cell

SSN

DOB

Email

Name

Title

% of Ownership

%

Address

Phone

Cell

SSN

DOB

Email

Name

Title

% of Ownership

%

Address

Phone

Cell

SSN

DOB

Email

Name

Title

% of Ownership

%

Address

Phone

Cell

SSN

DOB

Email

Name

Title

% of Ownership

%

Address

Phone

Cell

SSN

DOB

Email

Name

Title

% of Ownership

%

Address

Phone

Cell

SSN

DOB

Email

Notes

Borrower Mailing Address

Same as Current Address?

Same as Property Address?

Address

City

State

Zip Code

Borrower Previous Address

Previous Mailing address on the last tax return filed if different from mailing address

Previous Address

Previous City

Previous State

Previous Zip Code

Number of Years at Address ?

Rent or Own

Borrower Background

Are you a U.S. Citizen?

Yes No

Origin

Visa Status

Has the borrower been declared bankrupt within the past 7 years?

Yes No

(If Yes, Provide explanation below.)

Are there an outstanding judgements against the borrowers?

Yes No

(If Yes, Provide explanation below.)

Do you have any active lawsuits against you?

Yes No

(If Yes, Provide explanation below.)

Have you had or currently have any property tax liens?

Yes No

(If Yes, Provide explanation below.)

Has the borrower directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?

Yes No

(If Yes, Provide explanation below.)

Is the borrower presently delinquent or in any default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee

Yes No

(If Yes, Provide explanation below.)

Have you ever been convicted of a felony or other fraud related crimes?

Yes No

(If Yes, Provide explanation below.)

Background Explanation

Borrower Experience

Does borrower have Fix & Flip or Buy & Hold experience?

Yes No

# of years of experience?

# of properties completed in last 36 months

List 3 examples of past deals:

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Monthly Rent

Sale Price

Sale Date

Address

City

State

Zip

Outcome/Profit

Upload HUD

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Monthly Rent

Sale Price

Sale Date

Address

City

State

Zip

Outcome/Profit

Upload HUD

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Monthly Rent

Sale Price

Sale Date

Address

City

State

Zip

Outcome/Profit

Upload HUD

Does borrower have ground up construction experience?

Yes No

# of years experience?

# of properties completed in last 36 months

Are you a builder/developer?

Yes No

List 3 examples of past deals:

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Monthly Rent

Sale Price

Sale Date

Address

City

State

Zip

Outcome/Profit

Upload HUD

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Monthly Rent

Sale Price

Sale Date

Address

City

State

Zip

Outcome/Profit

Upload HUD

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Monthly Rent

Sale Price

Sale Date

Address

City

State

Zip

Outcome/Profit

Upload HUD

Does borrower have experience selling properties without construction (e.g., wholesaling)?

Yes No

# of years experience?

# of properties completed in last 36 months

List 3 examples of past deals:

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Monthly Rent

Sale Price

Sale Date

Address

City

State

Zip

Outcome/Profit

Upload HUD

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Monthly Rent

Sale Price

Sale Date

Address

City

State

Zip

Outcome/Profit

Upload HUD

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Monthly Rent

Sale Price

Sale Date

Address

City

State

Zip

Outcome/Profit

Upload HUD

Does borrower have any projects currently in progress?

Yes No

How many?

Does borrower own investment properties?

Yes No

How many?

Is borrower a member of an investment club or group?

Yes No

Name of Group/Club?

Do you have any professional licenses?

Yes No

Select Professional license

License #

Are you a full time real estate investor?

Yes No

How much liquid assets does borrower currently have?

Primary investment strategy

Describe Your Overall Real Estate Investment Experience

Primary investment strategy Explain

Is there a Non-Borrower Contributor?

Non-Borrower Contributor

Name

Date Of Birth

SSN Number

Email Address

Monthly Contribution

Co-borrower Information

First Name

Last Name

Email Address

Please Wait...

Date Of Birth

Social Security Number

Home Phone

Cell Phone

Fax

Credit Score Range

Experian Score

Equifax Score

Transunion Score

Mobile Service Provider

Co-borrower Address

Address

City

State

Zip Code

Same as Mailing Address?

Has the borrower resided at the present address for less than two years?

Yes No

Rent or Own

Co-borrower Background

Are you a U.S. Citizen?

Yes No

Has the borrower been declared bankrupt within the past 7 years?

Yes No

(If Yes, Provide explanation below.)

Are there an outstanding judgements against the borrowers? (If Yes, Provide explanation below.)

Yes No

(If Yes, Provide explanation below.)

Do you have any active lawsuits against you?

Yes No

(If Yes, Provide explanation below.)

Have you had or currently have any property tax liens?

Yes No

(If Yes, Provide explanation below.)

Has the borrower directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?

Yes No

(If Yes, Provide explanation below.)

Is the borrower presently delinquent or in any default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee

Yes No

(If Yes, Provide explanation below.)

Have you ever been convicted of a felony or other fraud related crimes?

Yes No

(If Yes, Provide explanation below.)

Background Explanation

Co-borrower Mailing Address

Same as borrowers mailing address?

Address

City

State

Zip

Co-borrower Previous Address

Previous Mailing address on the last tax return filed if different from mailing address

Address

City

State

Zip Code

Number of Years at Address ?

Rent or Own

Co-borrower Experience

Does borrower have Fix & Flip or Buy & Hold experience?

Yes No NA

# of years of experience?

List 3 examples of past deals: Address

Outcome/Profit

Upload HUD

# of properties completed in last 36 months

Address

Outcome/Profit

Upload HUD

Address

Outcome/Profit

Upload HUD

Does borrower have ground up construction experience?

Yes No NA

# of years experience?

List 3 examples of past deals: Address

Outcome/Profit

Upload HUD

# of properties completed in last 36 months

Address

Outcome/Profit

Upload HUD

Address

Outcome/Profit

Upload HUD

Does borrower have experience selling properties without construction (e.g., wholesaling)?

Yes No NA

# of years of experience?

List 3 examples of past deals: Address

Outcome/Profit

Upload HUD

# of properties completed in last 36 months

Address

Outcome/Profit

Upload HUD

Address

Outcome/Profit

Upload HUD

Do you have any projects currently in progress?

Yes No NA

How many?

Does borrower own investment properties?

Yes No NA

How many?

Is borrower a member of an investment club or group?

Yes No NA

Name of Group/Club?

Do you have any professional licenses?

Yes No

Select Professional license

Are you a full time real estate investor?

Yes No

How much in liquid reserves?

Primary investment strategy

Primary investment strategy Explain

1st Lien Current Mortgage Scenario

Loan Type	Terms	Rate %	Current Unpaid Principal Balance $	Original Loan Amt $	Loan Number	Notice of Acceleration
						(MM/DD/YYYY)
		Months Behind (Manual Entry)	Last Payment Made	Days Behind
			(MM/DD/YYYY)
Original Lender		Current Lender/Servicer		Mortgage Type		Mortgage Investor/Owner

Monthly P + I Payment $	Monthly Taxes $	Monthly Property Insurance $	Flood Insurance $	Priv. Monthly Mortg. Insurance $	Monthly H.O.A Fees $	= Total Monthly Payment

Past Due Interest	Out of Pocket Escrow Adv $	Projected Escrow Adv during Trial $	Past Due Mtg. Ins $	Past Due H.O.A $	Late Fees (Not Included) $

2nd Lien Mortgage Scenario

2nd lien Loan Type	Terms	Rate %	Current Unpaid Balance $	Original Loan Amount $	Payment $	Loan Number	Past Due Interest	Last Payment Made
								(MM/DD/YYYY)
Current Lender/Servicer			Months Behind (Manual Entry)		Days Behind (Based on last payment date)

Original Lender			Mortgage Type	Mortgage Investor/Owner

HMDA - (Borrower)

Do you wish to furnish this information?

Yes No NA

What is your Ethnicity:

Hispanic or Latino Not Hispanic or Latino

What is your Race:

American Indian Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Sex:

Male Female

HMDA - (Co-Borrower)

Do you wish to furnish this information?

Yes No NA

What is your Ethnicity:

Hispanic or Latino Not Hispanic or Latino

What is your Race:

American Indian Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Sex:

Male Female

Client Notes PrintFriendly

Personal Information

Do you own the majority of the business?	Yes No
Owner's Name
% Owned

Business Information

Business Name
Business Name (DBA)
Business Legal Name
Business Tax ID
Business Entity Type
Website
Industry
Are your clients businesses or consumers ?	Businesses Consumers

Financial Information

Months in business?
Average monthly revenue ($)
Credit score
Annual Gross Revenue ($)
Monthly Bank Deposit Volume ($)
Average Daily Bank Balance ($)
Do you have invoices to factor?	Yes No
How much ($) ?
Requested Advance Amount ($)
Requested Term Length (in Months)
How do you plan to use your funding?
Does the business accept credit cards?	Yes No
Does the business have exsisting financing?	Yes No
On your most recent business tax return, did you show a net profit or a net loss?	Profit Loss
Amount?
Do you own collateral?	Yes No
Sum of monthly recurring debt payments

Q+A

Credit Check Total Username		Credit Check Total Password
Experian Score		Equifax Score
Transunion Score		Monthly Income before Taxes?
Monthly Income after Taxes?		Are you employed?	Yes No
Can you prove income with paystub, W2, and income tax return?	Yes No	Number of Months at Current Job?
Have you or any family member served in the US Military?	Yes No	Do you own a business ?	Yes No
Type of Business		When did you incorporate?
Do you own or rent?	Own Rent	Credit Issues
Amount Desired?		Reason for Funds
Comments
Who Referred You?