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Online Application
Please fill out the information below, click "submit", and an Account Representative will get in touch with your shortly. If you also complete the forms shown above, it will speed our review of your loan request. Click
here
for a printable application.
Project Name
*
Project/Property Address
City
*
State
*
Atlanta
Austin
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Buffalo
Charlotte
Chicago
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Cleveland
Columbus
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Sacramento
Salt Lake City
San Antonio
San Diego
San Francisco
San Jose
Seattle
St. Louis
Tampa-St. Petersburg
Virginia Beach-Norfolk
Washington
Zip
*
Desired Loan Amount
*
Purpose of Loan
Description of Collateral
Estimated Current Market Value if Sold Within 90 Days
*
Purchase Price
*
Contract Price if Acquisition, or Original Purchase Price if Refinance
Date of Original Purchase (if Refinance)
Estimated Value (after implementation of business plan)
Amount of Existing Debt
Terms of Existing Debt
Use of proceeds
Choose one...
acquisition
refinance
renovation
construction
other
If "other" please describe
Business Plan and Proposed Timetable for Repayment
Attachments
Name of Borrower
*
Company Name
Address
City
State
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Alaska
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California
Colorado
Connecticut
Delaware
Florida
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Hawaii
Idaho
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New Hampshire
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North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Phone Number
*
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####
Mobile Number
###
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####
Email
*
Name of Borrower's Attorney
Phone Number
###
-
###
-
####
Email
Name of Referring Broker (if any)
Company Name
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Phone Number
###
-
###
-
####
Mobile Number
###
-
###
-
####
Email
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