Hard Money Bankers Loan Application

First Name *

Last Name *

Email Address *

Phone *

Purpose of Loan

I am

Subject Property Address

City

State *

Zip Code

Is This Your Principal Residence? *

Yes No

Type of Property

Are You Currently In Foreclosure?

Yes No

Are You Currently In Bankruptcy?

Yes No

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?

Credit Score

Do You Have Any Current Loans On The Subject Property?

If Yes, How Much Do You Owe (for all loans)?

Mailing Address (if different than subject property address)

City

State

Zip Code

Exit Strategy

Comments/Questions