1
Your Info
(Step 1)
2
Property Info
(Step 2)
First Name *
Last Name *
Email Address *
Phone *
Purpose of Loan
Purchase Only
Acquisition & Rehab
Cash Out Refinance
Construction Only
Stop Foreclosure/Bankruptcy
Debt Consolidation Refi
I am
Borrower
Referral Partner
Capital Investor
Subject Property Address
City
State *
Please select one
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
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 Code
Is This Your Principal Residence? *
Yes
No
Next
Type of Property
Single Family Residence
Townhouse
Condo
Multi Family (2-4 Units)
Apartment Bldg (4 Units)
Shopping Center
Office Building
Bar/Restaurant
Lot/Land
Industrial
Other
Requested Loan Amount
Purchase Price (if purchase)
Estimate Current Value of Subject Property
Estimated Value After Rehab (if Applicable)
Estimated Repair Cost (If Applicable)
How Would You Rate Your Credit?
Please select one
Excellent
Good
Fair
Below Average
Poor
I Don't Know
Credit Score
Do You Have Any Current Loans On The Subject Property?
No
1st Mortgage
2nd Mortgage
1st & 2nd Mortgage
If Yes, How Much Do You Owe (for all loans)?
Exit Strategy
Comments/Questions