First Name
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Last Name
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Email
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Phone
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Name of Company
Loan amount requested
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$5,000 - $50,000
$50,000 - $150,000
$150,000+
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Loan Type
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Fix & Flip (To Sell)
Fix & Flip (To Rent Out)
Cash Out Refi
Bridge Loan/Gap Financing
New Construction
Business Line of Credit
Other
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Property Address
City
State
Zip Code
Property Type
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Single Family (0 - 4 units)
Multi Family (5+ units)
Commercial
Mix use (rental & commercial)
New Construction
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Purchase Price
Rehab Cost
As Is Value (value of property before rehab)
After Repair Value (value of property after rehab)
Expected Close Date?
Number of Investment Rehab Projects completed in the last 3yrs
Total Rentals currently owned
Estimated Credit Score
*
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500 - 600
600 - 680
680 - 720
720+
Don't Know
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Annual Income Before Taxes
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$0
$0 - $10k
$10k - $20k
$20k - $50k
$50k - $100k
$100k - $150k
$150k
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Do you have any liquid funds available? If so, what amount?
None
Are you a United States Citizen?
Yes
No
Do you have a felony record?
*
Yes
No
Have you filed Bankruptcy or Foreclosure in the past 4 years?*
*
Yes
No
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