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Borrower Information



How did you hear about us?


I am applying as a(n)
Account Executive



First Name M.I.
Last Name
Business Name
Business Type
Title
 
Address
Address 2
City
State
Zip
 
Tax ID
Social Security(*Required for Credit Pull)
Date of Birth
Marital Status
Phone
Fax
Cell
Website
Permission to pull credit
Please note: Outside credit reports are not accepted


Pricing / Loan Details

Choose a Loan Program
Requested Date of Closing
Purchase Price
$
Estimated Loan Payoff Date
Loan Amount Requested
$
Estimated ARV Based on
Estimated After Repaired Value (ARV)
$
 

Location

Address
City
State
Zip
County
How do we access the property?
Is the property occupied?
 

Property Details

Number of bedrooms
Number of bathrooms
Garage spaces
Garage conversion / add-ons?
Sq. Ft. Living Area
Choose exterior walls
Is tax info on Sq. Footage correct?
If tax info is not correct please explain

Title Company (Delay in providing title company information will delay the processing of your loan).

Company
Contact
Address
City
State
Zip
Phone
Fax
Email
Website
Please provide as much repair detail as possible including estimated cost per repair. If requesting rehab funding, do you have a repair cost breakdown?

Yes
No

If you answered "No" click on the button to submit your application now:

If you answered "Yes" please complete as much of the following repair cost breakdown as possible.

 

Please note: You may be required to submit additional repair information if your estimated total cost of repairs are equal to or less than the purchase price and/or are greater than $30,000.



Structural:

Estimated Cost Of Repair

Foundation $
Roof $
Sub Floor $
Garage Conversion $
Enclosure $
Addition $
   

Clean Up:

Estimated Cost Of Repair

Clean Up $
Demolition $
Dumpster $
   

Plumbing:

Estimated Cost Of Repair

Plumbing Rough $
Plumbing Finish $
Water Heater $
   

Electrical:

Estimated Cost Of Repair

Electrical Rough $
Electrical Finish $
   

HVAC:

Estimated Cost Of Repair

HVAC Ducts & Vents $
HVAC Units $
   

Exterior Repairs:

Estimated Cost Of Repair

Siding $
Tuck Point Brick Work $
Windows/Window Screens $
Shutters $
Gutters $
Porch Steps $
   

Interior Repairs:

Estimated Cost Of Repair

Insulation $
Sheet Rock $
Tape/Bed/Texture $
Blow Acoustic Ceiling $
Trim Work $
   

Paint:

Estimated Cost Of Repair

Paint Exterior $
Paint Interior $
Paint (Doors and Trim) $
   

Doors:

Estimated Cost Of Repair

Garage Door $
Exterior Doors $
Exterior Storm/Screen Doors $
Interior Doors $
Sliding/Patio Doors $
Door Handles $
   

Kitchen:

Estimated Cost Of Repair

Kitchen Cabinets $
Range $
Oven $
Vent Hood $
Cook Top $
Disposal $
Microwave $
Dishwasher $
Countertops $
   

Bathrooms:

Estimated Cost Of Repair

Bathroom 1 $
Bathroom 2 $
Bathroom 3 $
Bathroom 1 Cabinets $
Bathroom 2 Cabinets $
Bathroom 3 Cabinets $
   

Floors:

Estimated Cost Of Repair

Tile Work $
Carpet $
Wood $
Linoleum $
   

Miscellaneous:

Estimated Cost Of Repair:

Permits $
Extermination $
Landscaping $
Fence $
Please enter a description for any misc items.  
Misc 1  -   $
Misc 2  -   $
Misc 3  -   $
Misc 4  -   $
Misc 5  -   $
Misc 6  -   $
Misc 7  -   $
Misc 8  -   $
Misc 9  -   $
Misc 10  -   $
   
Total Estimated Repairs: $