Loan Request Profile
1. Applicant Information
Date
First Name
Last Name
Phone
Alternate Phone
Fax
E-mail
2. Property Information
Property Name
Property Address
Property City
Property State
Property Zip
Property Type
Rentable Square Footage
# of Rentable Units
Year Built
Estimated Property Value
Tenant Type
# of Tenants
Lease Type
Vacancy (% of sq. ft.)
Gross Rent/Year
Other Income
Expenses
Net Operating Income
3. Borrower Information
First Name
Last Name
Address
City
State
Zip
Net Worth
Has Borrower ever filed for bankruptcy?
Yes
No
4. Loan Information
Requested Loan Amount
Entity
Please Select
Corporation
Partnership
Sole Proprietorship
LLC/Partnership
Other
Type of Financing Requested
Please Select
Fixed
Variable
Other
For
Please Select
Aquisition
Refinance
Existing Loan Balance
Interest Rate
Lenders Name
Brief Summary of Proposed Transaction