Loan Details

Loan Purpose

Refinance Type (if refinance)

Loan Amount

Desired Interest Rate (%)

Amortization Term (months)

Interest-Only?

Expected Closing Date

Prepayment Penalty

Prepayment Penalty Term (years)

Prepayment Penalty Type

Prepayment Penalty Description (e.g. “3-2-1 stepdown, hard for 3 years”)

Borrower / Sponsor

Borrower Type

First Name (or Signer First Name)

Last Name (Signer Last Name)

Date of Birth

Marital Status

Years in School

Phone

Borrower SSN (if individual)

Citizenship / Residency

Citizenship / Residency Status

Total Liquid Assets (approx.)

Entity Information (if applicable)

Entity Legal Name

Entity Type

Entity EIN

State of Formation

Signer Title (e.g. Managing Member)

Signer Ownership %

Co-Borrower (Optional)

Co-Borrower First Name

Co-Borrower Last Name

Co-Borrower Email

Co-Borrower Phone

Co-Borrower Ownership %

Borrower Residence & Experience

Current Address

Street Address

City

State

Zip Code

Own or Rent?

Monthly Mortgage / Rent Amount

Years at Current Address

Previous Address (if < 2 years at current)

Street Address

City

State

Zip Code

Own or Rent?

Monthly Mortgage / Rent Amount

Years at Previous Address

Employment & Rental Experience

Current Occupation / Role

Employer / Company Name

Do you have prior experience owning or managing rental properties? If yes, briefly describe (number of properties, years of experience, etc.)

Subject Property

Street Address

City

State

Zip Code

Property Type

Number of Units

Is this property mixed-use (residential + commercial)?

Year Built

Occupancy

Vesting / How Title Should Read

DSCR Details

Gross Monthly Rent / Income

Monthly Property Taxes

Monthly Property Insurance

Other Monthly Expenses (HOA, etc.)

DSCR = Gross Rent ÷ (Taxes + Insurance + Other Expenses).

Government Monitoring Information (HMDA)

This information is requested by the Federal Government for certain types of loans. You may choose “I do not wish to provide” for any field.

Ethnicity

Race

Sex / Gender

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