Full Name
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Phone
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Email
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Referral Partner Name
Address
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Street Address
Loan Purpose
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Purchase
Refinance
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Property Type
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Residential
Industrial
Land
Commercial
Multifamily
Specialty
Alternative
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# Of Units
Estimated Value or Purchase Price
*
$
Investment Thesis & Scenerio
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Loan Amount Requested
*
$
Loan Reason
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Acquisition
Bridge
Mezz(Pref Equity)
Refinancing
Construction
Renovation (Value add)
DSCR
Land
OTHER
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Loan Duration (Months)
Use of Funds
Company Name (Entity)
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Applying As
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Sole Proprietor
Partnership
LLC
Corporation
Trust
Individual
Other
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Current Cash on Hand (liquidity)
*
$
Business Federal Tax ID (EIN)
Business Owner SSN
Business Address (FULL)
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The information provided in this application shall not be shared to anyone else and is kept confidential. I agree that the information herein are true and correct