Type of Commercial Loan * First Mortgage Second Mortgage Construction Loan Bridge Loan/Hard Money Mezzanine Loan Other Purpose of the Loan * Purchase Cash out Refinance Rate & Term Refinance (no cash out) New Construction Renovate or Expand the Property Other Desired Loan Amount * Sales Price / Value of the Collateral * Amount of the Down Payment (if applicable) * Street Address of the Property * Street Address (cont.) City * County * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia 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 Type of Property * Apartment Building / Multi-Family Housing Assisted Living Facility Auto Dealership / Used Car Lot Auto Repair Shop Bakery Beauty Shop Bed & Breakfast Boat Storage Facility Bowling Alley Campground Car Wash Casino Church / Place of Worship Commercial or Retail Building Congregate Care Facility Convalescent Hospital Day Care Center Delicatessen Department Store Distribution Facility Dry Cleaners Duplex / Triplex / Fourplex Educational / Schools (for profit) Factory Fast Food Chain Flagged Hospitality Funeral Home Gas Station / Convenience Store Gentlemens Club Golf Course Grocery Store Health Care Heavy Industrials Hospitals Hotel / Motel Industrial Building Industrial Condo Land Laundromat Marina (Lake Access) Marina (Ocean Access) Mixed-Use Mobile Home Park Movie Theater Nursing Home Office Building Office Condo Outdoor Entertainment Center Parking Garage Pharmacy Ranch or Agricultural Purposes Research & Development Restaurant Retail Store Rooming House RV Storage Facility Self Storage Shopping Center Single Room Occupancy (SRO) Skilled Nursing Facility Special Use / Special Purpose Strip Mall Supermarket Tavern Truck Terminal Unflagged Hospitality Warehouse Gross Rentable Area (square feet) Net Rentable Area (square feet) Number of Units * Number of Vacancies * Vacancy Rate for this Area Less than 5% 5-10% 10-25% Greater than 25% General Description of the Building(s) * Age of the Building(s) Last Renovated (approximate date if known) Desired Amortization Schedule * 15 20 25 30 Desired Loan Term * 1-5 Years 6-10 Years 11-15 Years 16-20 Years 21-25 Years 26-30 Years Name of First Mortgage Lender (if applicable) Balance of First Mortgage First Mortgage Interest Rate Less than 5% 5-6% 6-7% 7-8% 8-9% 9-10% 10-11% 11-12% 12-13% 13-14% 14-15% 15-16% Greater than 16% First Mortgage Payment (per month) First Mortgage Maturity Date Gross Scheduled Income (annual) Other Income Annually (laundry, parking, etc.) Real Estate Taxes (current annual) Insurance Premium (current annual) Management Expenses (current annual) Repairs and Maintenance (last year actual) Utilities (last year actual) Other Operating Expenses (annual)
Name of Borrower / Entity *
Type of Entity *
Individual
Corporation
General Partnership
Limited Partnership
Limited Liability Company (LLC)
Other
Occupation / Line of Business *
Annual Income *
Net Worth *
Less than $250,000
$250,000 - $500,000
$500,000 - $1,000,000
$1000,000 - $2,000,000
$2,000,000 - $5,000,000
$5,000,000 - $10,000,000
Greater than $10,000,000
Credit
Excellent
Good
Fair
Poor
Bankruptcy Discharged within Last 3 Years
I Don't Know
Business Phone *
E-mail Address *
Home / Mobile Phone *
Name of Co-Borrower / Entity
Type of Entity
Individual
Corporation
General Partnership
Limited Partnership
Limited Liability Company (LLC)
Other
Occupation / Line of Business
Annual Income
Net Worth
Less than $250,000
$250,000 - $500,000
$500,000 - $1,000,000
$1,000,000 - $2,000,000
$2,000,000 - $5,000,000
$5,000,000 - $10,000,000
Greater than $10,000,000
Credit
Excellent
Good
Fair
Poor
Bankruptcy Discharged within Last 3 Years
I Don't Know
Business Phone
Home / Mobile Phone
E-Mail Address
Desired Time Frame *
0-1 Month
1-3 Months
3-6 Months
Greater than 6 Months
Comments
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