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LOAN SUBMISSION FORM
Loan Submission Form
Name
*
First Name
Last Name
E-mail
So that we can get back to you
Phone number
Product
*
Residential
New Construction
Commercial & Income Producing
Land & Lot
Multi-Unit
Loan type
*
Purchase
Refinance
Borrower Type
*
Individual
Company
Individual & Co-borrower
Borrower/Co- Borrower Information
Borrower first name
Middle name
Last name
Mailing address
City
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
Work phone
Home phone
Cell phone
Fax number
Company Information
Company name
Tax I.D no
Company Contact
Property Information
Property Type
*
Residential
Land/Construction
Commercial
Multi-unit
Building Type
*
Commercial
Land
Single Family Detached
Townhouse
Condo
Attached Rowhouse
Semi-Detached Rowhouse
Multi-Unit
Address
*
Address2
City
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
Country
Zip
Land and New Construction
Current Zoning
Public Water/Sewer
Yes
No
Don't know
Click to edit
Yes
No
Don't know
Description of Deal
Deal Synopsis
Renovation Description
Payoff Details
Pricing
Sales Price/Payoff (if re-fi)
Rehab/Construction Budget
Estimated Resale Value
Cash Out Needed (if re-fi)
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