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COMMERCIAL REAL ESATE: QUICK LOAN REQUEST

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Borrowers Information

Name

First Name

Last Name

Phone#

Area Code

Phone First 3

Phone Last 4

Email

Address

Address1

Address 2

City

State

Zip

Net Worth: $

Occupation

Experience in this industry

US Citizen

Foreign National?

Do you have a Green card?

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LOAN REQUEST INFORMATION

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Property Information

Property Address

Address1

Address 2

City

State

Zip

Age of Property

Sq. Ft.; # Units; Acres; # Stories

% Occupancy for last 90 days

EBIDA

(Earnings before Interest; Depreciation and Amortization): Last 3 years

3rd Last Year

$

2nd Last Year

$

1st Last Year

$

Any Environmental Issues

Type of Loan

Purchase/Refi/Rehab/ New Construction?

Owner Occupied or Investment Property

Property Type: Apt.; Gas Station; Motel; Sr Living; Self-Storage; Mixed Use; Office or other

Or Other

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If PURCHASE

Contract Purchase Price

Contract Closing date

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If REFINANCE

Original Purchase Price

Original Purchase Date

Current Loan(s) Payoff

Assumed Current Value

Date of Last Appraisal and Amount

Amount

If New Construction Or Rehab

Total Project Cost: Including Land, Hard and Soft Costs

Is Land owned or to be purchased

if owned; Total Liens on property

Or Purchase price to be included in loan

Loan Request Information

Total Loan Amount Requested

LTV or LTCost %

Down Payment Amount

Source of Down Payment Funds: Cash, Equity; Gifts from Relatives

Or Other

Any Owner Financing

Amount

Any other information that would affect loan

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Tuesday	9:00AM - 6:00PM
Wednesday	9:00AM - 6:00PM
Thursday	9:00AM - 6:00PM
Friday	9:00AM - 6:00PM
Saturday	12:00PM - 5:00PM
Sunday	CLOSED

Quick Loan Form

COMMERCIAL REAL ESATE: QUICK LOAN REQUEST

Please Fill Out All Required Information

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