HARD MONEY LOAN “QUICK QUOTE”

PLEASE FILL OUT THE FORM BELOW

**Click here for the PDF downloadable version of this form.

    Broker Information
    Name:*   
    Company:   
    Phone:*   
    Email:*   


    Borrower Information
    Borrower:*   
    Co-Borrower:   
    Phone:*   
    Email:*   
    Approximate Credit Score:   


    Loan Information
    Street Address:*   
    City:*   
    State:   
    Zip Code:*   
    Estimated Property Value or Purchase Price:*   
    Lien Position - 1st, 2nd or 3rd:*   
    Loan Purpose*   
    Occupancy*   
    Term of Loan*   
    Exit strategy   
    Loan Amount   
    Property Type   


    Loan Scenario
    Please tell us about your loan scenario: