Borrower Information Borrower Name or Company Name* Borrower's Email* Borrower's Phone* (please enter as xxx-xxx-xxxx) Business name (if applicable) Borrower's Current Address* City* State* ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIPCODE* Borrower's Yearly Income* Will there be a Co-Borrower* NoYes Property Information Exit Strategy* FlipRent Other properties available to include as collateral* YesNo Purchase Price* Rehab Budget Amount* Estimated Value As-Is* Estimated Value After Repair* Estimated Timeframe on Project* Subject Property Address* Contract Close Date* Any Additional Information or Comments* Were You Referred To Us By Someone or a Website?* ---YesNo [group referred]Who? [/group] Executed Contract* (upload a contract) What loan amount you are requesting*: Previous Borrower*: Total Outstanding HML Loan Amount: Ever Declared Bankruptcy*: YesNo Been Foreclosed On*: YesNo Had a Judgment Levied: YesNo Available Cash / Cash on Hand: # of Investment Properties Currently Owned*: # of Flips in Past 12 Mo.*: Are you planning on owner financing the home or placing any kind of 2nd lien?* Is there is any there any fire, flooding, or tornado damage to the property, or any other major damage?* Is there any assignment or double close involved?* After clicking submit, if you have not received a response by next business day. Please contact us. *Are required fields