Online Loan Submission Form
Broker Name
Phone Number
Email Address
State
Loan Type
Purchase Price
Property Type
Occupancy Type
AS-IS Value $
ARV Value $
Refi Loan Amt $
Refi LTV %
Refi 1st Lien (s)
Use of Proceeds
Refi Cash Out $
Rehab Budget $
General Desc.
What is the Exit Strategy
Documents to
Send Today
Sending File
Originated By
Subject Address
Broker Comm
Direct to Borrower
Target Close Date
Gross Monthly Rents
2nd
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