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Project Name Required Item
Project Information 
Type: Required Item
I need a bridge loan (fast, short term loan.  Expect rates over market).
Hard Money Loan (based on equity, due to non-conforming property or borrower).
Check here if you want an SBA loan. (Must be 50% owner occupied.)
Requested Loan Amount :  Required $100,000 Minimum
Collateral Sales Price/Value :  Required Item
Amount of the Down Payment: (if applicable)
Property Address: Required Item
Property Address Line 2:
City:   Required Item
County: State:     Required Items
Type of Property:
Gross Rentable Area: (square feet)
Net Rentable Area: (square feet)
Number of Units:
Number of Vacancies: (if known)
Vacancy Rate for the Area: %
Description of the Building(s):
Age of the Building(s): years  Last Renovated:  Years ago
Purpose of the Loan:
Interest Rate Desired: %
Loan Fee:  point(s) to the lender and  point(s) to the broker
Amortization Schedule Desired: years
Loan Term Desired: year(s)
Special Issues, Problems, or Needs:
Curb Appeal:

Borrower Information

  1. Borrower 1
    Name of Borrowers/Couple:
    Type of Entity:
    Occupation:
    Annual Income:
    Net Worth:
    Credit:
    Credit Score (if known):  (3 digits)
  2. Borrower 2
    Name of Borrowers/Couple:
    Type of Entity:
    Occupation:
    Annual Income:
    Net Worth:
    Credit:
    Credit Score (if known): (3 digits)

          Check here if you have additional borrowers to be listed.

Property Income

Gross Scheduled Income:  * (annual)
* Include the market rent of any vacant units and any owner-used units
Other Income (laundry, parking, etc.):  (annual)

Expenses

Real Estate Taxes:$  (current actual)
Insurance:$  (current actual)
Management Expenses:$  (annual)
Repairs and Maintenance:$  (last year actual)
Reserves for Replacement:$  (annual)
Utilities:$  (last year actual)
Other Operating Expenses:$  (annual)


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Revised: 12/16/02.