Quick Application Form

Loan Officer/Mortgage Broker

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

Yes No

What kind of program are you looking for?

Borrower Info

First Name

Last Name

Borrower Email

Please Wait...

Cell Phone

Is there a Co-borrower?

Yes No

Mailing Address

Alternate Names

Alternate Section 1

First Name

Personal Info

Unmarried Married Separated

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

Yes No

Mid Fico Score

Co-borrower Information

First Name

Last Name

Please Wait...

Yes No

Mailing Address

Personal Info

Unmarried Married Separated

Yes No

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

Mid Fico Score

Business Entity

General Business Info

Business Address

Urban Rural Suburban

Business Details

NAICS Code look up

Service Product

B2B B2C

Yes No

Business Financials

Yes No

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

Yes No

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

Yes No

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

Yes No

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

Yes No

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

Yes No

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

Yes No

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

Yes No

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

Yes No

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

Yes No

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

Yes No

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

Add More Members/Officers Info

Notes

Sales Method

Fee Schedule

Equipment Info

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

Are you a U.S. Citizen?

Yes No

Co-borrower Background

Are you a U.S. Citizen?

Yes No

Borrower Experience

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 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

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