Preliminary Borrower Application & Financial Profile

Applicant (Principal Borrower)
First Name*
Middle Name*
Last Name*
Home Address*
Apt No.*
City*
State*
Zip*
Years/Months At This Address*
Home Phone*
Work Phone*
Mobile*
Marital Status*	Unmarried Married
Email Address*

Co-Applicant (Co-Borrower)
First Name*
Middle Name*
Last Name*
Home Address*
Apt No.*
City*
State*
Zip*
Years/Months At This Address*
Home Phone*
Work Phone*
Mobile*
Marital Status*	Unmarried Married
Email Address*

Subject Property Information

Loan Purpose:	Purchase Refinance
Loan Amount Requested:
Current Value of Property:
Home Address*
City*
State*
Zip*
Type of Property:	Office Retail Mixed Use Restaurant Gas / Conv. Medical Multi-Family Other:
Square Feet of Building:
If owned, how long have you owned the property (years/months):
If Refinancing, how will the loan proceeds be used for:
If Purchasing:	Asking Price: Contract Price: Date of Closing:
If Refinancing:	Previous Sales Price: Estimated Current Value: Date Purchased: Existing Liens::