form

Step 1 of 2

Are You a Mortgage Broker?*

Yes

Mortgage Broker Information

Broker Name:*

Company Name:

Phone number:*

Email address:*

Points:*

Processing Fee

Borrower Information

Primary Borrower Details

Company Name*

Company type*

Other

Company Address*

Street Address Address Line 2 City State ZIP Code

Guarantor/Signer

Name*

Email address*

Home Address*

Street Address Address Line 2 City State ZIP Code

Phone number*

Citizenship Status*

Will there be a Co-Borrower?*

Co-Borrower Information

Co-Borrower

Company Name*

Company type*

Company Address*

Street Address Address Line 2 City State ZIP Code

Signer two

Name*

Email address*

Home Address*

Street Address Address Line 2 City State ZIP Code

Phone number*

This field is hidden when viewing the form

Loan Type

Select Loan Type*

Purchase

Refinance

Transactional

New Construction

Purchase

Property Address

Address*

Street Address Address Line 2 City State ZIP Code

Property type: (select)*

Single Family

Multi-Family

Condominium

Vacant Land

Commercial Retail

Has the property ever been damaged by any of the following?*

Requested Loan amount:*

Purchase Price:*

Estimated current value:*

Rehab Amount:*

After Repair Value:*

Contracted Closing Date:*

Any Credits or Seller Concessions?*

Yes

Credits or Seller Concessions

Owner Financing or 2nd Lien?*

Yes

Credits or Seller Concessions

Is this an Assignment or Double Close?*

Yes

Example Document Lists

– Sales Contract
– Purchase HUD/Closing Statement
– Borrower’s Authorization
– Appraisal
– Title Commitment
– Insurance Quote
– Entity Docs (LLC/Operating Agreement)
– Other

Drop Documents here or Select Files

Drop files here or

Max. file size: 2 GB.

Available cash / cash on hand*

Total amount of hard money loans outstanding:*

# of outstanding hard money loans:*

# of Investment properties you currently own:*

# of flips in the last 12 months:*

Ever declared Bankruptcy*

Yes

Ever been Foreclosed On?*

Yes

Had a Judgement Levied*

Yes

Additional Transaction Details.

Additional Comments or Information.

Were you referred to us by someone or a website?*

Were you referred to us by someone or a website?

Refinance

Property Information

Address*

Street Address Address Line 2 City State ZIP Code

Property type: (select)*

Single Family

Multi-Family

Condominium

Vacant Land

Commercial Retail

Has the property ever been damaged by any of the following?*

Requested Loan amount:*

Current Payoff:*

Estimated current value:*

Rehab Amount: (if applicable):*

After Repair Value (ARV)(if applicable):*

Desired Closing Date:*

Any Current Rehab work in process?*

Yes

Current Rehab in Process

Example Document Lists

– Current Mortgage Statement
– Payoff Statement
– Appraisal
– Title Commitment
– Entity Docs
– Insurance Policy
– Rent Roll / Leases
– Other

Drop Documents here or Select Files

Drop files here or

Max. file size: 2 GB.

Available cash / cash on hand*

Total amount of hard money loans outstanding:*

# of outstanding hard money loans:*

# of Investment properties you currently own:*

# of flips in the last 12 months:*

Ever declared Bankruptcy*

Yes

Ever been Foreclosed On?*

Yes

Had a Judgement Levied*

Yes

Additional Transaction Details.

Additional Comments or Information.

Were you referred to us by someone or a website?*

Were you referred to us by someone or a website?

Transactional

Property Information

Address*

Street Address Address Line 2 City State ZIP Code

Property type: (select)*

Single Family

Multi-Family

Condominium

Vacant Land

Commercial Retail

Has the property ever been damaged by any of the following?*

Requested Loan amount:*

Purchase Price:*

Assignment Fee (if applicable):*

Contracted Closing Date:*

Example Document Lists

– Purchase Contract (Initial)
– Sales Contract (Exit)
– Assignment Agreement
– HUD (if available)
– Proof of Funds / Buyer’s Statement
– Title Commitment
– Other

Drop Documents here or Select Files

Drop files here or

Max. file size: 2 GB.

Available cash / cash on hand*

Total amount of hard money loans outstanding:*

# of outstanding hard money loans:*

# of Investment properties you currently own:*

# of flips in the last 12 months:*

Ever declared Bankruptcy*

Yes

Ever been Foreclosed On?

Yes

Had a Judgement Levied*

Yes

Additional Transaction Details.

Additional Comments or Information.

Were you referred to us by someone or a website?*

Were you referred to us by someone or a website?

New construction

Property Information

Address*

Street Address Address Line 2 City State ZIP Code

Lot Purchase Required?

Loan Amount:*

Lot Purchase Price:*

Estimated current value:*

Construction Costs:*

Completed Construction Value:*

Loan Amount:*

Current Payoff:*

Estimated current value:*

Construction Costs:*

Completed Construction Value:*

Example Document Lists

– Construction Budget
– Plans & Specs
– Permits
– Builder’s Agreement
– Appraisal
– Lot Purchase Contract
– Other

Drop Documents here or Select Files

Drop files here or

Max. file size: 2 GB.

Available cash / cash on hand*

Total amount of hard money loans outstanding:*

# of outstanding hard money loans:*

# of Investment properties you currently own:*

# of flips in the last 12 months:*

Ever declared Bankruptcy*

Yes

Ever been Foreclosed On?

Yes

Had a Judgement Levied*

Yes

Additional Transaction Details.

Additional Comments or Information.

Were you referred to us by someone or a website?*

Were you referred to us by someone or a website?

Online Application Form

Mortgage Broker Information

Borrower Information

Primary Borrower Details

Guarantor/Signer

Co-Borrower Information

Co-Borrower

Signer two

Loan Type

Purchase

Property Address

Example Document Lists

Refinance

Property Information

Example Document Lists

Transactional

Property Information

Example Document Lists

New construction

Property Information

Example Document Lists

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