Borrower Information |
| Company Name: |
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| *Contact First Name: |
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| *Contact Last Name: |
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| *Business Phone: |
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| Mobile Phone: |
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| Best Time to Call: |
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| Fax: |
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| *E-Mail: |
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| *Address 1: |
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| Address 2: |
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| *City: |
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| *State: |
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| *Zip: |
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Loan Information
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| Property Name: |
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| *Property Address 1: |
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| Property Address 2: |
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| *City: |
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| *State: |
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| *Zip: |
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| Property Type: |
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| If other, please specify: |
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| Tenancy: |
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| *Current Occupancy: |
%
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| *Credit Tenant?: |
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| If Yes, Who?: |
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| # of Buildings: |
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| # of Parking Spaces |
per 1000 sq. ft. |
| *Total Sq. Ft: |
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| Lot Size: |
sq. ft. |
| Sprinklered?: |
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| *Year Built: |
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| Do you have an appraisal?: |
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| Was the report issued within last 6 months?: |
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| Value of appraisal: $ |
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| Do you have an environmental report?: |
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| Was the report issued within last 6 months?: |
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| Do you have a structural/engineering report?: |
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| Was the report issued within last 6 months?: |
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Cash Flow |
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Rental rates compared with market rates in my area:
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| Loan Purpose: |
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| Loan Amount Requested: |
$
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| Sales Price/ Estimated Value: |
$
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| Loan Type: |
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| Loan Term: |
years |
| Loan Amortization: |
years |
| Preferred Loan Features: |
| 1st Priority: |
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| 2nd Priority: |
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| 3rd Priority: |
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| Other Conditions/ Considerations: |
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Existing Mortgages / Liens |
| First Mortgage: |
$
Rate: %
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| Payable to: |
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| Second Mortgage: |
$
Rate: %
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| Payable to: |
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| Other Liens |
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Lead Information |
| Where did you hear about us? |
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| If other, please specify: |
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| Any comments or questions: |
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