Loan Application Form Section 1: Borrowing Entity Borrowing Entity Name: Borrowing Entity Type: Limited Liability Company Corporation Limited Partnership EIN #: Section 2: Personal Information Borrower Member of Borrowing Entity? Guarantor? First Name: Middle Name: Last Name: Suffix: Date of Birth: Citizenship Status: SSN: Credit Score: Street #: Street Name: Apt/Unit: City: State: Zip: Home Phone: Work Phone: Cell Phone: Email: Experience (1-5): 1 (No Flips) 2 3 4 5 (20+ Flips) Additional Borrower Member of Borrowing Entity? Guarantor? First Name: Middle Name: Last Name: Suffix: Date of Birth: Citizenship Status: SSN: Credit Score: Street #: Street Name: Apt/Unit: City: State: Zip: Home Phone: Work Phone: Cell Phone: Email: Experience (1-5): 1 (No Flips) 2 3 4 5 (20+ Flips) Section 3: Collateral Property Primary Property Type: Street #: Street Address: City: State: Zip: Purchase Price: Purchase Date: Debt Amount: % of Rehab Complete: Total Rehab Budget: As-Is Value: After Repair Value: Property Source: Short Sale REO Foreclosure Auction Sheriff’s Sale Estate Sale Online Auction Bankruptcy MLS Private Sale Wholesaler If Wholesaler, Purchase Price: Renovations: No Renovation Light/Cosmetic Moderate Heavy/Gut Rehab Vertical/Horizontal Enlargement New Construction Exit Strategy: Fix and Flip Flip Refi Rent-Flip Rent-Refi Section 4: Loan Request Loan towards Purchase Price (%): Loan towards Rehab Budget (%): Total Loan Amount ($): Renovation Budget/Purchase Price (%): LTV (%): ARLTV (%): Section 5: Personal Financial Statement Assets Cash – Checking: Cash – Savings: Securities: Notes Receivable: Life Insurance Cash Surrender Value: Retirement Funds: Real Estate Value: Other Assets: Liabilities Current Debt: Notes Payable: Taxes Payable: Real Estate Mortgages: Other Liabilities: Sources of Income Employment Info: Salary: Bonus & Commissions: Real Estate Income: Other Income: Supporting Documents Max upload size: 1GB Submit Application
