Skip to content
Home
Online Real Estate Funding Application
Asset-Based Funding Application
Asset-Based Funding Application
BORROWER INFORMATION
Borrower Name
(Required)
Phone Number
(Required)
Email Address
(Required)
Mailing Address
(Required)
Social Security Number
(Required)
Date of Birth
(Required)
DD slash MM slash YYYY
Marital Status
(Required)
– Select –
Single
Married
Widowed
Divorced
Separated
Mortgage Broker (If Applicable)
CO-BORROWER INFORMATION (If Applicable)
Do you have co-borrower information?
(Required)
-Select-
Yes
No
Borrower Name
(Required)
Phone Number
(Required)
Email Address
(Required)
Mailing Address
(Required)
Social Security Number
(Required)
Date of Birth
(Required)
DD slash MM slash YYYY
Marital Status
(Required)
– Select –
Single
Married
Widowed
Divorced
Separated
ENTITY INFORMATION (If Applicable)
Will property be purchased/refinanced in an LLC / Entity name?
– Select –
Yes
No
Entity or LLC Name
Who Will be Signing on Behalf of LLC? Name/Email/Phone/Mailing Address if different form above borrower info
TRANSACTION INFORMATION
Investment Property or Owner Occupied
– Select –
Investment
Owner Occupied
Purchase or Refinance
– Select –
Purchase
Refinance
Plan for Property
– Select –
Fix & Flip
Buy & Hold
SUBJECT PROJECT INFORMATION
Property Address, City, State
(Required)
Address
City
State
Purchase Price or Original Purchase Price if Refi
Will You Add Additional SQFT? (If yes, please provide construction plans)
– Select –
Yes
No
Finished Product Total SQFT
Rehab Cost to Complete Project Provide summary of work to be done
Rehab Cost Spent to Date on Project (if refinance)
Estimated Current Value
Estimated After Repair Value
Current Outstanding Debt on Property (if refinance)
Current Lender (name & contact Info)
Loan Request Amount
Exit Strategy
– Select –
Sell
Refi
Payoff
PAST EXPERIENCE
Address:
Status
Sold
Currently Holding
Address:
Status
Sold
Currently Holding
Address:
Status
Sold
Currently Holding
Address:
Status
Sold
Currently Holding
Δ
