Name:*
Address:*
City,
State, Zip:*
,
CA
HI
NV
,
Home
Phone:
Work
Phone:*
ext:
E-mail
Address:*
Please
contact me by:*
email,
home phone,
work phone
Best
time to reach me:
Occupation:
Annual
Income:
less than $25,000
$25,000 to $50,000
$50,000 to $75,000
$75,000 to $100,000
$100,000 to $150,000
$150,000 to $250,000
$250,000 to $500,000
more than $500,000
Credit
Status:
excellent
good
fair
reestablished
after bankruptcy
slow pay
poor
in bankruptcy
bankruptcy
discharged within 3 years
really, really bad
Property/Structure
Information
Approx. Property
Value:*
$
Property
Purchase Price:*
$
Property
Purchase Date:*
Now
1 year ago
2 years ago
3 years ago
5 years ago
more than 5 years ago
Any
foreclosures, bankruptcies, leins, or judgements? *
yes
no
Property
Type: *
Amusement Park
Apartment Building
Auto Dealership/Used
Car Lot
Auto Repair
Commercial or
Retail Building
Gas Station
Golf Course
Industrial Building
Industrial Condo
Mixed Use Property
Office Building
Office Condo
Parking Garage
Restaurant
Shopping Center
Special Use Property
Tennis Club
Other
Church
Casino
Property
Description:
Property
Address: *
Property
City & State: *
,
CA
HI
NV
Net
Rentable Area
(in square feet):
Number
of Units:
Number
of Vacancies
(if known):
Annual
Property Income:
$
Do
You Own Any Other Real Estate?*
yes
no
Existing
First Trust Deed
Present
Balance: *
$
(if none type "0")
Original
Balance:
$
Monthly
Payment:
$
,
current or past due:
current
past_due
Interest
Rate:
, Term:
Existing
Second Trust Deed
Present
Balance:
$
Original
Balance:
$
Monthly
Payment:
$
,
current or past due:
current
past_due
Interest
Rate:
, Term:
Loan
Quote Request
Requested
Loan Type:*
First Mortgage
Second Mortgage
Third Mortgage
Amount
of Loan Requested:*
$
Purpose
of Loan:
purchase
maturing loan
-- no cash out
maturing loan --
cash out
cash out refinance
rennovation or expansion
bills
just for fun
gambling
business purposes
investment
other
none of your business
Amount
of Cash Down Payment (if purchase):
$
Amount
of Seller Carryback (if applicable):
$
Term
Desired: *
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
Comments/other
issues: