Borrower Form – Private Money Loans

Loan Request Form

Borrower Information
Name*
First Name Last Name
Phone*
Email*
Company or Borrower Entity Name*
FICO Score
Cash in Bank*
Est. Annual Income*
# of Rehabs/Flips (past 18-mos)*
# of Rehabs/Flips (total)*
Subject Property Information
Address*
Address City State
Purchase Price (or Current As-Is FMV)
ARV (if Rehab or Construction Loan)
Construction/Rehab Cost (Est.)
Loan Request Information
Loan Amount Requested
Transaction Type*
Term
Fund by Date
MM slash DD slash YYYY
Comments/Additional Information
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