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F.A.Q

TESTIMONIAL

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Account Application

Borrower Information

First Name M.I. Last Name

Home Address

City State Zip Code

Own Rent Since

Home Phone Mobile Phone

Work Phone ext.

Email Address Confirm Email Address

SSN Birthday

Marital Status Married Single Spouse's First Name Last Name

Are you currently filing bankruptcy? Yes No if yes, please enter the case number:

Bank Name Average Monthly Balance

Real Estate Experience

Rehabbing Experience Years Full Time Part Time

Do you own rental property? Yes No if yes, how many

Number of properties rehabbed in the past year?

Number of rehabbed properties you still own?

Main source for locating/buying property?

Area Preference Price Range Preference from to

The property you wish to buy is: Buy, rehab and sell Buy, rehab and hold for rent

Please tell us about your RE investment strategy including your plans for this hard money loan. In addition, please provide an overview of your financial situation.

* required, maximum 500 characters.

Employment

Are you self employed? Yes No Type of Business

Employer/Company Name

Position Since Annual Income

Address

City State Zip Code

Phone # ext.

How did you hear about us?

I hereby certify that the information provided in connection with this Application is true and correct to the best of my knowledge. I give you permission to verify the above information through any source including a consumer-reporting agency in order to qualify me for a loan and by attaching the signature I agree and understand that the typed electronic signature shall have the same legal effect as an original signature and is being accepted as my original signature pursuant to the Uniform Electronic Transactions Act (Section 432.230 RSMo 1986).

Please sign your name here: