Quick Application Form

Quick Submission

What type of mortgage are you interested in?

Yes No

Yes No

Select Loan Program

:

Broker/Referring Party

Give Us Some Information

First Name

Last Name

Email

Please Wait...

Cell Phone

Preferred Communication

Is there a Co-borrower?

Address

City

State

Zip Code

Length of time at present address

Rent or Own

Yes No

Mailing Address

Alternate Names

Alternate Section 1

First Name

First Name

First Name

Personal Info

Unmarried Married Separated

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

Yes No

Mid Fico Score

Credit Score Range

Co-borrower Information

First Name

Last Name

Email Address

Please Wait...

Home Phone

Cell Phone

Fax

Mobile Service Provider

Same as borrowers address?

Address

City

State

Zip Code

Rent or Own

Length of time at present address

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

Yes No

Previous Address

Previous City

Previous State

Previous Zip Code

Mailing Address

Same as borrowers mailing address?

Mailing Address

Mailing City

Mailing State

Mailing Zip

Personal Info

Date Of Birth

Place Of Birth

Social Security Number

Driver License State

Driver License Number

Marital Status?

Unmarried Married Separated

Married to Borrower?

Yes No

Citizenship

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

Equifax Score

Mid Fico Score

Transunion Score

Experian Score

Credit Score Range

Do You Have an Business Entity

General Business Info

Entity Name

Entity Type

Business Address

Urban Rural Suburban

$

$

Business Details

NAICS Code look up

Service Product

B2B B2C

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

1)

Business Financials

$

$

$

$

$

$

Yes No

Yes No

$

Members/Officers (List all members with 20% ownership or more.)

%

Yes No

Yes No

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

%

Yes No

Yes No

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

%

Yes No

Yes No

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

%

Yes No

Yes No

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

%

Yes No

Yes No

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

%

Yes No

Yes No

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

%

Yes No

Yes No

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

%

Yes No

Yes No

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

%

Yes No

Yes No

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

%

Yes No

Yes No

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

Add More Members/Officers Info

Sales Method

%

%

%

%

Fee Schedule

%

%

$

$

$

$

$

$

$

%

%

%

$

$

%

$

%

%

$

$

Equipment Info

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

%

%

%

Yes No

Additional Guarantors

Yes No

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

HMDA - (Borrower)

Yes No N/A

Hispanic or Latino

Mexican, Puerto Rican, Cuban, Other Hispanic or Latino

Mexican Puerto Rican Cuban Other Hispanic or Latino

Print Origin For example: Argentinean, Colombian, Dominican, Nicaraguan,Salvadoran, Spaniard, and so on

Not Hispanic or Latino Not Disclosed

American Indian or Alaska Native Asian

Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, Other Asian

Asian Indian Chinese Filipino Japanese Korean Vietnamese Other Asian

Print Race For example: Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.

Black or African American Native Hawaiian or Other Pacific Islander

Native Hawaiian, Guamanian or Chamorro, Samoan, Other Pacific Islander

Native Hawaiian Guamanian or Chamorro Samoan Other Pacific Islander

Print Race For example: Fijian, Tongan, and so on.

White Not Disclosed

Male Female Not Disclosed

an option for veteran

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

HMDA - (Co-Borrower)

Yes No N/A

Hispanic or Latino

Mexican, Puerto Rican, Cuban, Other Hispanic or Latino

Mexican Puerto Rican Cuban Other Hispanic or Latino

Print Origin For example: Argentinean, Colombian, Dominican, Nicaraguan,Salvadoran, Spaniard, and so on

Not Hispanic or Latino Not Disclosed

American Indian or Alaska Native Asian

Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, Other Asian

Asian Indian Chinese Filipino Japanese Korean Vietnamese Other Asian

Print Race For example: Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.

Black or African American Native Hawaiian or Other Pacific Islander

Native Hawaiian, Guamanian or Chamorro, Samoan, Other Pacific Islander

Native Hawaiian Guamanian or Chamorro Samoan Other Pacific Islander

Print Race For example: Fijian, Tongan, and so on.

White Not Disclosed

Male Female Not Disclosed

an option for veteran

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

Borrower Background

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Co-borrower Background

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.)

Are you in a Civil Union or a Domestic Partnership, or do you have a non-borrowing spouse, or are you a party to a Designated Beneficiary Agreement?

Yes No

(If Yes, Provide explanation below.)

Background Explanation

Tell Us About Your Experience

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

Yes No

Number of years of experience?

Number of properties flipped in last 36 months

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

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

Yes No

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