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Contact Information (Section I)
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Select Borrower Relationship
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Property Information (Section II)
Property Name
Property Type
Loan Type
1st Mortgage – Purchase
1st Mortgage – Refi (no cash out)
1st Mortgage – Refi (cash out)
2nd Mortgage
Bridge Loan
Construction Loan
Equity Participation Loan
Mezzanine Loan – Construction
Mezzanine Loan – Existing Property
Mezzanine Loan – Major Rehab
Private Money Loan – Hard Money
Loan Amount Requested ($)
Purchase Price/Value ($)
Annual Gross Potential Rental Income ($)
Annual Net Operating Income ($)
Property Street
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Property County
Property County
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