Full Application Form

What kind of program are you looking for?

Lead Source

Broker/Referring Party

First Name

Last Name

Borrower Email

Home Phone

Cell Phone

Cell Carrier

Preferred Communication

Is there a Co-borrower?

Address

City

State

Zip Code

Length of time at present address

Has the borrower resided at the present address for less than two years?

Yes No

Mailing Address same as Current Address?

Mailing Address

Mailing City

Mailing State

Mailing Zip Code

Alternate Names

Alternate Section 1

First Name

Date Of Birth

Social Security Number

Unmarried Married Separated

U.S. Citizen Perm Resident Alien Non-Perm Resident Alien

Yes No

Mid Fico Score

First Name

Last Name

Email Address

Home Phone

Cell Phone

Mobile Service Provider

Address

City

State

Zip Code

Has the coborrower resided at the present address for less than two years?

Yes No

Mailing Address

Same as borrowers mailing address?

Mailing Address

Mailing City

Mailing State

Mailing Zip

Personal Info

Date Of Birth

Social Security Number

Unmarried Married Separated

Yes No

U.S. Citizen Perm Resident Alien Non-Perm Resident Alien

Credit Score Range

Yes No

Are there any additional guarantors?

Yes No

First Name

Last Name

Phone #

Cell

SSN

Date Of Birth

Marital Status?

Address

City

State

Zip

U.S. Citizen Perm Resident Alien Non-Perm Resident Alien

Guarantor Notes

General Guarantor Notes

Do you wish to furnish this information?

Yes No N/A

What is your Ethnicity:

Hispanic or Latino Not Hispanic or Latino Not Disclosed

Sex:

Male Female Not Disclosed

Non-Veteran Veteran Service-Disabled Veteran Spouse of Veteran Not Disclosed

Do you wish to furnish this information?

Yes No N/A

What is your Ethnicity:

Hispanic or Latino Not Hispanic or Latino Not Disclosed

Sex:

Male Female Not Disclosed

Non-Veteran Veteran Service-Disabled Veteran Spouse of Veteran Not Disclosed

Is the borrower a U.S. Citizen?

Yes No

Origin

Visa Status

Has the borrower been declared bankrupt within the past 7 years?

Yes No

Status of Personal Bankruptcy

Please provide filing date, current status, properties included, etc...

Are there any outstanding judgments against the borrowers?

Yes No

(If Yes, Provide explanation below.)

Does the borrower have any active lawsuits against them?

Yes No

(If Yes, Provide explanation below.)

Does the borrower have any property tax liens or have they had any property tax liens in the past?

Yes No

(If Yes, Provide explanation below.)

Has the borrower been directly or indirectly obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?

Yes No

Status of Foreclosure

(If Yes, Provide explanation below.)

Is the borrower presently delinquent or in any default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee

Yes No

(If Yes, Provide explanation below.)

Has the borrower ever been convicted of a felony or other fraud related crime?

Yes No

(If Yes, Provide explanation below.)

Yes No

Are you a U.S. Citizen?

Yes No

Has the borrower been declared bankrupt within the past 7 years?

Yes No

Please provide filing date, current status, properties included, etc...

Are there any outstanding judgments against the borrowers? (If Yes, Provide explanation below)

Yes No

(If Yes, Provide explanation below.)

Do you have any active lawsuits against you?

Yes No

(If Yes, Provide explanation below.)

Have you had or currently have any property tax liens?

Yes No

(If Yes, Provide explanation below.)

Has the borrower directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?

Yes No

(If Yes, Provide explanation below.)

Is the borrower presently delinquent or in any default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee

Yes No

(If Yes, Provide explanation below.)

Have you ever been convicted of a felony or other fraud related crimes?

Yes No

(If Yes, Provide explanation below.)

Yes No

Does borrower have Fix & Flip or Buy & Hold experience?

Yes No

# of years of experience?

# of properties completed in last 36 months

Property Type
Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Address
City
State
Zip

Upload HUD

Property Type
Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Address
City
State
Zip

Upload HUD

Property Type
Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Address
City
State
Zip

Upload HUD

Does borrower have ground up construction experience?

Yes No

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Monthly Rent

Sale Price

Sale Date

Address

City

State

Zip

Outcome/Profit

Upload HUD

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Monthly Rent

Sale Price

Sale Date

Address

City

State

Zip

Outcome/Profit

Upload HUD

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Monthly Rent

Sale Price

Sale Date

Address

City

State

Zip

Outcome/Profit

Upload HUD

Yes No

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Address

City

State

Zip

Upload HUD

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Address

City

State

Zip

Upload HUD

Property Type

Purchase date

Purchase Price

Amount Financed

Rehab Budget

Entity Name

Ownership %

Exit

Address

City

State

Zip

Upload HUD

Does borrower have any projects currently in progress?

Yes No

Does borrower own investment properties?

Yes No

Borrower Info

Co-borrower Information

Business Entity

Sales Method

Fee Schedule

Equipment Info

Additional Guarantors

HMDA - (Borrower)

HMDA - (Co-Borrower)

Borrower Background

Co-borrower Background

Borrower Experience