Borrower Application Form
 
Name of borrower______________________________________________DOB____/_______/_______
 
Soc Sec #_________________ Office Phone #____________Cell Pone # _______________
 
Office Fax#_______________________ Years in business_______________________?
 
OFFICE ADDRESS_________________________________________________________________
 
Home Address of Borrower___________________________________________________________
 
City________________________________STATE____ZIP CODE___________
 
Co-Borrower: Name_______________________________Address_______________________
 
CITY_________________________________STATE______ZIP CODE___________
 
Co-borrower name ______________________________________________________

DOB______________Soc Sec #____________________PHONE#______________
 
Type of project______________________________________? e.g. apart. land, office, subdivision, condos?
 
Location___________________________________ Number of units if applicable____________?
 
Amount  of Loan $__________________?    Term in months ____________________?
 
Mortgage Loan amount to Current Fair Market Value Ratio___________________%
 
Experience of borrower:____________________________________________________________________
 
Are You seeking  unsecured loan up to $300,000 or secured loan?  Yes_ Secured :No __Unsecured
 
Explain purpose of loan__________________________________________________________
 
____________________________________________________________________________
 
Ever file for Bankruptcy____________?   Mid Fico Score_______________?