Borrower / Owner Information
Your Loan Originator
*
Select your originator Brady Regier Dane Fitch Dan Niemeyer Jacob Franz Keith Hegidio Kevin Sherouse Michael Huffman Ryan Guisness Sean Robbins Tony Gioia Max Garrison Matt Hiley Michael Gregory Michael Parrish Paolo de Jesus Unsure / Don't Remember
1. Your Information
First Name
Last Name
Home Address
City
State
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Zip Code
Primary Phone
Mobile Phone
Email
First Name
Last Name
Home Address
City
State
Select state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code
Primary Phone
Mobile Phone
Email
2. Mailing Address Preferred mailing address for statements.
Address
City
State
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Zip Code
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Business / Entity Information
Type of Borrower
Select entity type LLC Corporation Partnership Individual Sole Proprietorship
Company Name
Representative Name
Registered Company Address
City
State
Select state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code
Primary Phone
Mobile Phone
Email
Federal Tax ID (EIN)
State of Formation
Select state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Date of Formation
Upload Company-Related Documents
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Track Record
Upload completed projects spreadsheet here when finished.
Step 2: Background Information
How long have you been buying & rehabbing real estate?
How many investor rehab projects have you been involved with in the last 36 months?
Average Purchase Price?
Select a price range $150,000 - $249,000 $250,000 - $349,000 $350,000 - $499,000 $500,000 - $749,000 $750,000 - $999,000 $1 million - $2 million Over $2 million
Average Rehab Cost?
Select a price range $25,000 - $49,000 $50,000 - $99,000 $100,000 - $250,000 Over $250,000
Average Rehab Time?
Of the investor rehab projects that you listed above, how many are:
Flips:
Rentals:
Of the investor rehab projects that you listed above, how many have involved ground-up construction?
What counties do you operate in?
Who does your rehab and/or construction?
If yes, please explain.
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Questionnaire / Declarations
Mark YES or NO for each of the following questions. If YES is marked for questions 1-6, please provide an explanation.
1. Are there any outstanding judgements against you?
Provide "yes" explanation here.
2. Have you declared bankruptcy?
Provide "yes" explanation here.
3. Have you had any prior foreclosures?
Provide "yes" explanation here.
4. Do you have any pending litigation against you?
Provide "yes" explanation here.
5. Are you presently delinquent on any federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?
Provide "yes" explanation here.
6. Have you been convicted of a felony?
Provide "yes" explanation here.
7. Are you a U.S. citizen?
Provide "no" explanation here.
8. Are you a permanent resident alien?
Please submit a copy of your permanent resident alien card.
9. Do you have a non-borrower spouse?
Enter non-borrowing spouse's legal name here.
Please state in your own words that you do not intend to occupy any properties financed using proceeds from this loan as your primary residence, and that you understand this is a commercial loan for business purposes only :
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Property Information
Property Type
Select property type SFR 1-4 Units MFR 5+ Units Commercial Mixed-Use
Number of Units (if applicable)
Property Address
City
State
Select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code
Insurance Information
Company
Agent Name
Contact (Phone or Email)
Escrow / Settlement Information
Company
Agent Name
Contact (Phone or Email)
Upload Property-Related Documents
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Loan Request
Purchase Price of Property
Loan Amount Requested
Projected After-Rehab Value
Rehab / Upgrade Cost
Estimated ARV (after-repair-value)
Will you be adding square footage?
Select Yes No
How many months?
How many years?
Continue to Next Step
Supporting Documentation
Add any additional supporting documentation. If you have a term sheet, please attach it here.
Borrower 1 Signature
*
Borrower 2 Signature
Printed Name
*
Printed Name
Date
Date
If you are human, leave this field blank.
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