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Loan Application
Have a loan proposal for us? Fill out and submit this form. Or send us an executive summary by email or fax that includes the following information. (Brokers are protected.)
Borrowers and brokers, if you have a loan proposal for us, please
either fill out and submit this form or send - by email or fax - an executive
summary that includes the following information. Brokers are protected.
Broker's Name 
Company 
Address 
Phone 
Fax 
E-mail 
 
 
Principal's Name 
Company 
Address 

Phone 
Fax 
E-mail 
Loan Amount 
 
Purpose of Loan 
Description of Collateral//Property 
As-is Market Value 
As-is Disposition Value
(90-120 day sale) 
As-Improved Market Value
(Construction loans only) 
As-Improved Disposition Value
(Construction loans only) 
Existing Debt 
Use of Proceeds 
Plan for Repayment 
How Did You Hear About Us? 

Have You Spoken to a Loan Officer?
Who?



   Click here for the printable loan application form


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