Quick Application Form

Are you a Mortgage Broker or working with one?

Yes No

Please select your Mortgage Broker

Email Address

First Name

Last Name

Company Name

Phone Number

What kind of program are you looking for?

First Name

Last Name

Borrower Email

Cell Phone

Is there a Co-borrower?

Yes No

Unmarried Married Separated

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

Yes No

Currently serving on active duty Currently Retired, discharged, or separated from service Non-activated member of the Reserve or National Guard Surviving Spouse

Estimated Credit Score Range

First Name

Last Name

Yes No

Mailing Address

Personal Info

Unmarried Married Separated

Yes No

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

Estimated Credit Score Range

Yes No

Notes

Yes No N/A

Hispanic or Latino Not Hispanic or Latino Not Disclosed

Male Female Not Disclosed

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

To Be Completed by Financial Institution (for application taken in person)

Yes No

The Demographic Information was provided through

Face-to-Face Interview (includes Electronic Media w/ Video Component) Telephone Interview Fax or Mail Email or Internet

Yes No N/A

Hispanic or Latino Not Hispanic or Latino Not Disclosed

Male Female Not Disclosed

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

To Be Completed by Financial Institution (for application taken in person)

Yes No

The Demographic Information was provided through

Face-to-Face Interview (includes Electronic Media w/ Video Component) Telephone Interview Fax or Mail Email or Internet

Are you a U.S. Citizen?

Yes No

Are you a U.S. Citizen?

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

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 own investment properties?

Yes No

How many?

Yes No

Amount of Liquid Reserves?

Does Co-borrower have Fix & Flip or Buy & Hold experience in addition to the borrower's?

Yes No NA

Address

Outcome/Profit

Upload HUD

# of properties completed in last 36 months

Address

Outcome/Profit

Upload HUD

Address

Outcome/Profit

Upload HUD

Yes No NA

Address

Outcome/Profit

Upload HUD

Address

Outcome/Profit

Upload HUD

Address

Outcome/Profit

Upload HUD

Yes No NA

Address

Outcome/Profit

Upload HUD

Address

Outcome/Profit

Upload HUD

Address

Outcome/Profit

Upload HUD

Yes No NA

Does Co-borrower own investment properties in addition to the borrower's?

Yes No NA

How many?

Yes No NA

Yes No

Amount of liquid reserves in addition to the borrower's??

Payroll Rent/Mortgage Interest Utilities Other

Yes No

Loan Amount

Yes No

Other Business/Affiliate Information

Company Name

Tax Id/EIN #

Legal Owners/Title/Ownership %

# of employees

Years in Business

Has applied for SBA loans?

Yes No

Description

Type

Estimated Value ($)

Amount Owed ($)

Loan Officer/Mortgage Broker

Borrower Info

Co-borrower Information

Business Entity

Additional Guarantors

HMDA - (Borrower)

HMDA - (Co-Borrower)

Borrower Background

Co-borrower Background

Borrower Experience

Typical Transactions

Co-borrower Experience

SBA Questions

Other Business/Affiliate Information

Assets (Include Borrower + Co-borrower amounts if any)