New Client Application

First Name *

Last Name *

Buyer Type

Individual
Company
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Name/Business Name Requested on Pre-Approval Letter *

Date of birth

Last 4 of Social Security Or Tax ID *

Drivers License Number *

Email *

Phone *

Borrower Current Address

City *

State *

Monthly Payment *

Marital Status *

Gross Annual Income *

Has borrower ever filed for bankruptcy? *

Yes
No
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Have you ever had a foreclosure or given back a property to a lender? *

Yes
No
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How many properties do you currently own? *

How many properties are financed? *

How many property flips have you completed in the last 5 years? *

Address of Subject Property *

Loan Type *

Purchase
Refinance
Cash Out Investement
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Will this be your homestead property?

Purchase Amount Or Current Loan Balance?

$

Renovation Amount Requested? *

Total Loan Amount Requested? *

Estimated After Repair Value *

Estimated Loan Duration *

Do you need pre-approval? *

Yes
No
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How did you hear about us? *

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