Referral Partner Lead Submission Form

Fill out your lead's information below:

Are you already working with one of our Commercial Loan Brokers? If yes, please provide their name here: This field is required.

Referral Partner's Name & Contact Information This field is required.

Fill out your lead's contact information below:

Full Name * This field is required.

Lead's Phone # * This field is required.

Email * This field is required.

Property Address * This field is required.

City * This field is required.

State * This field is required.

Postal code * This field is required.

Name of your Corporation, LLC or LLP, if applicable This field is required.

If applicable, do you have another person named on your Corporation, LLC, LLP (husband, wife, member, partner)? If yes, what's their name & email address? This field is required.

Property Type

Single Family Residence
Duplex
Triplex
4 Plex
Multi-family (5+ units)
Apartment Building(s)
Childcare
Church
Condo
Event Center/Entertainment
Farm/Ranch
Gas Station
Golf Course
Grocery Store
Industrial/Warehouse
Hotel/Motel
Land
Manufactured Housing
Mixed Use Commercial
Mixed Use Commercial & Multi-family
Mobile Home Park
Office
Other
Restaurant/Food & Beverage
Retail
School
Self Storage
Special Purpose
Sporting Facility
Townhouse
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List is empty.

This field is required.

Loan Type

Bridge Loan Purchase
Bridge Loan Refinance
Business Loan
Construction Loan
Cross Collateralize
Development Loan
Fix & Flip
Fix & Hold/Rent Max 30 year term
Joint Venture
Land Purchase
New Construction
New Construction to Permanent Loan
Other
Purchase
Refinance
SBA Purchase
SBA Refinance
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This field is required.

Address of Property You're Purchasing, Refinancing or Constructing This field is required.

Annual Taxes $ This field is required.

Annual Insurance $ This field is required.

Annual HOA $, if applicable This field is required.

Estimated Property Value: $ This field is required.

Estimated Payoff of Existing Loan(s), if applicable: $ This field is required.

If a purchase, what's the Purchase Price? This field is required.

If a refinance, how long have you owned this property? This field is required.

If the property your purchasing/refinancing is income producing, how much income was earned during the last year (gross income)? This field is required.

Loan Amount Requested: $

This field is required.

How much Liquid Cash do you have available (checking & savings combined)?

This field is required.

Loan Term Requested

30 year fixed
20 year fixed
15 year fixed
10 year fixed
10/1 ARM
7/1 ARM
5/1 ARM
3/1 ARM
1 year (interest only)
Other
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Interest Rate Requested? This field is required.

Your Credit Score

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500
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This field is required.

If a Fix & Flip, how many flips have you completed in the last 3 years? This field is required.

Please tell us about your level of experience * This field is required.

Additional Information/Comments This field is required.

If applicable, use this link to upload your marketing brochure, business plan, resume, CV, etc.

You can upload multiple files (up to 10). Files must be in one of the following formats: pdf, doc/docx, jpg/jpeg, png, gif, csv/xlsx

Loan Connection LLC does not charge any up front fees.

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