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First name*
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Purpose of Loan*
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Full Property Address and Zip Code*
Property Type*
Single Family
Duplex
Triplex
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Purchase Price (if applicable)
Requested Loan Amount*
Purchase Date*
Property Value*
Monthly Rent*
Annual Taxes*
Annual Insurance*
Property Value after Rehab (If Applicable)
Estimated Repair Costs (If Applicable)
Approx. Credit Score*
Approx. Property Payoff*
Liquid Assets (Checking, Savings & Retirement)*
How many properties have you owned in the last 24 months?*
Closing as an LLC or LP?*
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Purpose of transaction and additional comments? Please give as much information as possible.
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