Private Money Loan Application

Referring Partner Information

Referral Partners Name

Referral Partner Phone

Referral Partners Company

Borrower Information

First Name *

Last Name *

Phone

Email *

Profession

Company Name

Monthly Income

Years on the Job

Estimated Credit Score *

Liquid Asset *

How many Fix and Flips have you done in the past 24 months? *

Subject Property Information

Property Address *

City *

State *

Postal code *

Occupancy *

Occupancy

Property Type *

Property Type

Number of Units *

Subject Square Feet

Loan Amount Requested *

Current Sale Price (if purchase)

Purchase Price Offer ($0 if Refinance) *

Target Closing Date *

Construction Costs (if any)

Existing Liens *

Do you own any additional Real Estate? *

Do you own any additional Real Estate?

Estimated ARV (After Repair Value) *

Estimated As-Is Value *

If Refinancing, Current Payoff

If the property is leased, total rent income *

Do you want to include rehab budget in the loan? *

Yes

No

Do you hire people to do renovations or do you do them yourself?

Exit Strategy/Plan for Repayment *

Loan Purpose *

Notes