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1000 Uptown Park Blvd. Houston, TX 77056-3245
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Loan Application Form
First Name
Middle Name
Last Name
Address
Address Line 1
Address Line 2
City
State
Zip Code
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Phone - Work
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Email
Company
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Loan amount
Loan duration
First payment due date
Repayment option
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Principal & Interest
Borrower's credit score
Do you have collateral for the loan?
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Description of collateral
Are you applying as
Individual
Corporation
Value of the intended collateral and how is this value reached?
Purpose for loan request
* Please provide an official appraisal report of intended collateral
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*Please provide supporting documents on the project for which loan is requested.
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Purpose of the Loan
Subject property street address
Do you have this property under contract?
Yes
No
Contract amount
To Close By
Current "As-Is" property value
Estimated construction or repair cost
Estimated ARV
Total Loan amount requested
How long will the construction or rehab process take?
6 months or less
9 months or less
12 months or less
18 months or less
Explain your exit strategy in detail
I agree that the information herein are true and correct
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