First Name:
Last Name:
Social Security Number:
Date of Birth: (xx/xx/xxxx)
What is your credit rating? Poor-Good-Excellent.
How much is your total credit card debt?
How much is your monthly credit card payments?
How much money do you owe, lease or loan, on your vehicle?
How much is your monthly vehicle payment?
Street Address:
City:
State:
Zip:
Your Telephone Number:
Fax Number:
Your E-mail Address:
What is the address of the Subject property, if it is different from the above address
Employer Name;
Your E-mail Address At Work:
How much money are you looking to borrow?:
How much of your own money have you put down, or will you be putting down?:
The minimum loan in all States is $100,000. We do not process personal loans, and we do not have any 100% finance programs. Some of your own money, or equity in real estate, must go into the deal.
What is your relationship to the Primary Borrower?
If you are the spouse of the Primary Borrower, and your credit card and vehicle payments are included in the Primary Borrower's information; please enter "Same" for credit card and vehicle debt questions.
If the subject property is not a Single Family Residence; how many units is the building that you are buying or refinancing?
If the subject property has any rental income; how much is the monthly rental income?
Will this building be owner occupied?
What is the yearly income of the borrower?
If this is a re-finance: how much do you feel the real estate is worth?
If this is a purchase; how much is the purchase price?
Please fill in information relative to your residential loan request in this next section.
If you feel anything needs to be explained, or there is any other information that you feel we should know; please list it here:
Or, click this button to erase your entries and start over.