|
Name:* |
|
|
Address:* |
|
|
City,
State, Zip:* |
,
,
|
|
Home
Phone: |
|
|
Work
Phone:* |
ext:
|
|
E-mail
Address:* |
|
|
Please
contact me by: |
email,
home phone,
work phone |
| Best
time to reach me: |
|
|
Occupation: |
|
| Annual
Income: |
|
| Credit
Status:* |
|
|
Property/Structure
Information |
| Approx. Property
Value:* |
$
|
| Property
Purchase Price:* |
$
|
| Property
Purchase Date:* |
|
| Any
foreclosures, bankruptcies, leins, or judgements?* |
|
| Property
Type:* |
|
| Do you live on the property?:* |
|
|
Property
Description: |
|
|
Property
Address:* |
|
|
Property
City & State:* |
,
|
|
Net
Rentable Area
(in square feet): |
|
|
Number
of Units: |
|
|
Number
of Vacancies
(if known): |
|
|
Gross Annual
Property Income: |
$
|
| Do
You Own Any Other Real Estate?* |
|
|
Existing
First Trust Deed |
|
Present
Balance:* |
$
(if none type "0") |
|
Original
Balance: |
$
|
|
Monthly
Payment: |
$
,
current or past due:
|
|
Interest
Rate: |
, Term:
|
|
Existing
Second Trust Deed |
|
Present
Balance: |
$
|
|
Original
Balance: |
$
|
|
Monthly
Payment: |
$
,
current or past due:
|
|
Interest
Rate: |
, Term:
|
|
Loan
Quote Request |
| Requested
Loan Type:* |
|
| Amount
of Loan Requested:* |
$
|
| Purpose
of Loan: |
|
| Amount
of Cash Down Payment (if purchase): |
$
|
| Amount
of Seller Carryback (if applicable): |
$
|
|
Term
Desired:* |
|
|
Comments/other
issues: |
|
|
|
