Borrower Information
First Name *
Last Name *
Date of Birth *
x
Cell Number *
(Only write numbers, no spaces or dashes please)
Email *
Home Address (House #, Street Name) *
(House Number and Street Name Only)
City *
State *
Zip Code *
Name Property Will Be Titled in (Your Company Name if applicable) *
Loan Property Details
Street Address For Loan Property *
City *
State *
Select
TN
MS
Zip Code *
Occupancy *
Select
Occupied/Tenanted
Vacant
Loan Information
Loan Purpose *
Select
Refinance
Purchase
Loan Amount *
Purchase Price *
If Applying For Cash-Out Refi, List Original Purchase Price
Referred By
Requested Closing Date *
x
Exit Strategy *
Select
Flip
Refinance
Flip/Refi
Is This Property Under Contract? *
Select
Yes, contract is fully executed and signed by both parties
Yes, verbal agreement or contract has been signed by me and delivered to seller
No
Already Own
Are Any Assignment Fees Involved With This Purchase? *
Select
Yes
No
ALL Assignment Fee Information
List all assignment fee amounts and assignors names. Will you be receiving any assignment fees personally?
Estimated Repair Cost *
After Repair Value *
Current Reserve Funds *
Estimate how much working capital you currently have
Title Company and Title Closing Agent *
Other Information Regarding This Property Or Loan We Should Be Aware Of (Such As Fire Damage)
Loan Type *
Select
Fix & Flip
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