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*
Borrower's Yearly Income*
Will there be a Co-Borrower*

Property Information

Exit Strategy*

Other properties available to include as collateral*

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?*
[group referred]Who?
Executed Contract* (upload a contract)

What loan amount you are requesting*:

Previous Borrower*:

Total Outstanding HML Loan Amount:

Ever Declared Bankruptcy*:

Been Foreclosed On*:

Had a Judgment Levied:

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?*

‚ÄčIs 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

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