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Application Form

Borrower Information - Step 1 of 6

W-2
1099
Self-Employed

Name *

First

Last

DOB *//

Marital Status *

Married
Single

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

How did you find us?

If other, please name

Company Name *

Position Title *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Time Employed *

Monthly Income *

Subject Street Address *

Address Line 1

Address Line 2

City

State

Zip Code

Legal Description

Lock Box Code

No. of Units

Title Company *

Address *

Closer Name *

Email *

Phone *

Requested Close Date *//

Purchase Price *

Estimated Cost of Repairs

After Repair Value

Exit Strategy *

Flip
Refinance

Bank *

Balance *

Bank

Balance

Do you have real estate investment experience? *

Yes
No

No. of Properties Completed

Rehab/Construction Experience? *

Yes
No

Years of Experience

Properties Owned

Do you have projects currently in progress? *

Yes
No

No. of Current Projects

Are You a U.S. Citizen? *

Yes
No

Have you or any of your businesses ever filed bankruptcy? *

Yes
No

Are there any judgments against you or any of your companies? *

Yes
No

Are you or your company currently involved in a lawsuit? *

Yes
No

Are you presently delinquent or in default on any Federal debt or obligation? *

Yes
No

Signature *

Today's Date *//

Name *

First

Last

Email *

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3100 Weslayan St #315, Houston, TX 77027

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