Broker Information

    Your Name (required)

    Your Company

    Your Phone (required)

    Your Email (required)

    Borrower Information

    Borrower Name (required)

    Co-Borrower

    Your Phone (required)

    Your Email (required)

    Approximate Credit Score

    Loan Information

    Current Market Value of Property

    Loan Amount Requested

    Lien Position

    Loan To Value/CLTV

    Loan Term (60 days to 5 years)

    Loan Program – Investor, Rehab or Business

    Property Type

    Occupancy – O/O, NOO:

    O/ONOO

    Purchase Information

    Purchase Price

    Amount of Down Payment

    Cash Out Refinance

    Amount of Cash Out

    Purpose of Cash Out

    Property Information

    Property Street Address

    City

    State

    Zip

    County

    Amount owed on Subject Property

    If Refinance, Date property was purchased

    Original Purchase Price

    Appraised Value

    Date of Appraisal

    Comments

    Underwriter Information

    Reason Why borrower does not qualify for a conventional loan

    Pros & Cons

    Strength of transaction

    Risk Factors

    Ability to Pay

    Borrower Income

    Co-Borrower Income

    Other Income

    Other

    Loan Exit Strategy

    Sale of Property

    YesNo

    Target Sales Timeframe

    Target Sales Price/After Repair Value

    Has loan been submitted elsewhere for approval?

    YesNo

    Status or Outcome?

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