Name
*
First Name
Last Name
Residential Address
*
Date of Birth
*
MM
DD
YYYY
Monthly Rent/Mortgage
*
Employer Name
*
Employer Address
*
Start Date
*
MM
DD
YYYY
Position
*
Legal Business Name
*
Tax ID/EIN
*
Business Start Date
*
MM
DD
YYYY
Business Industry Type
*
Ownership Percentage of Business
*
Co-Applicant Name
First Name
Last Name
Co-Applicant Date of Birth
MM
DD
YYYY
Cash Deposit Assets #1 | Bank Name & Current Balance
*
Cash Deposit Assets #2 | Bank Name & Current Balance
Cash Deposit Assets #3 | Bank Name & Current Balance
Cash Deposit Assets #4 | Bank Name & Current Balance
Stock Investments | Description & Current Balance
*
Mutual Fund Investments | Description & Current Balance
*
Other Investments | Description & Current Balance
Retirement Accounts | Description & Current Balance
Vehicles | Description & Current Balance
*
Total Assets | Summary of Cash, Accounts, & Investments
*
Total Revolving Personal Credit | Current Balance, Monthly Payment, & Bank Name
*
Personal Installment Loan #1 | Current Balance, Monthly Payment, & Bank Name
*
Personal Installment Loan #2 | Current Balance, Monthly Payment, & Bank Name
Personal Installment Loan #3 | Current Balance, Monthly Payment, & Bank Name
Personal Installment Loan #4 | Current Balance, Monthly Payment, & Bank Name
Other Liabilities | Current Balance, Monthly Payment, & Bank Name
Total Personal Liabilities | Summary of All Balances
*
Total Revolving Business Credit | Current Balance, Monthly Payment, & Bank Name
*
Business Installment Loan #1 | Current Balance, Monthly Payment, & Bank Name
*
Business Installment Loan #2 | Current Balance, Monthly Payment, & Bank Name
Business Installment Loan #3 | Current Balance, Monthly Payment, & Bank Name
Business Installment Loan #4 | Current Balance, Monthly Payment, & Bank Name
Other Business Liabilities | Current Balance, Monthly Payment, & Bank Name
Total Business Liabilities | Summary of All Balances
*
Real Estate Holdings #1 | Property Type, Vested Owner Name, % Ownership, Address, Amount Owed, Current Market Value, Date Purchased
*
Real Estate Holdings #2 | Property Type, Vested Owner Name, % Ownership, Address, Amount Owed, Current Market Value, Date Purchased
Real Estate Holdings #3 | Property Type, Vested Owner Name, % Ownership, Address, Amount Owed, Current Market Value, Date Purchased
Real Estate Holdings #4 | Property Type, Vested Owner Name, % Ownership, Address, Amount Owed, Current Market Value, Date Purchased
Transaction Type
*
Commercial Real Estate Purchase
Commercial Real Estate Refinance
Commercial Real Estate Cash-Out Refinance
Business Purchase
Business Refinance
Business Working Capital
Business Equipment
Asset Type
*
Retail Single Tenant
Retail Multi Tenant
Apartments
Industrial
Hotel
Office
Mixed Use
Land
Specialty
Business
Occupancy Type
*
Owner User 100%
Owner User 51%
Investor
Annual Gross Rents Collected/Revenue
*
Loan Amount
*
Subject Property Address
*
Email
*
Phone
*
(###)
###
####
Is Income Documented?
*
Yes
No
SSN
*
FICO Score
*
760+
700-759
660-699
600-659
580-599
Below 580
Has Bankruptcy, Foreclosure, or a Short Sale Occurred?
*
No
Yes | 3 Years Ago or Longer
Yes | Within 2 Years
Are You Employed By the U.S. Government? If Yes, What Agency & Position?
*
Are You a U.S. Citizen? If No, What is Your Alien Registration Number?
*
Are You Presently Under Indictment, Parole, or Probation?
*
Have You Ever Been Charged With or Arrested for a Criminal Offense other than a Minor Motor Vehicle Violation?
*
Have You Ever Been Convicted, Placed on Pretrial Diversion, or Placed on Any Form of Probation?
*
Education #1 | School Name, Location, Dates Attended, Major, Degree/Certificate
*
Education #2 | School Name, Location, Dates Attended, Major, Degree/Certificate
Education #3 | School Name, Location, Dates Attended, Major, Degree/Certificate
Military Service Background | Branch of Service & Dates Served
Employment History #1 | Company Name, Location, Dates Employed, Title, Duties
*
Employment History #2 | Company Name, Location, Dates Employed, Title, Duties
Employment History #3 | Company Name, Location, Dates Employed, Title, Duties
Use of Proceeds
*
What Steps Will be Taken to Ensure Loan Repayment? Include Value-Add Notes About Yourself, Team, Property, or Business
*
