| How did you hear about us? |
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| Borrower Information |
| *First Name: |
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| *Last Name: |
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| Phone: |
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| Address: |
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| City, State, Zip: |
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| *Email Address: |
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Property Information
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| Total Square Feet: |
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| Number of Rooms: |
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| Operating Information |
Current Month |
2006 |
| *Occupancy (%): |
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| Gross Rental Income ($): |
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| *Net Operating Income (Exclude interest and depreciation): |
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| Debt on Property: |
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| Financing Information |
| *Desired Loan Amount ($): |
$
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| *Desired Loan Type: |
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| *Desired Interest Rate Type: |
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| *Desired Loan Term: |
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| *Desired Amortization: |
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| Prefered Loan Features. Rate the importance of the following loan features. |
| First Priority: |
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| When do you plan to acquire / refinance? |
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| If Acquisition, is sale contract executed? |
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| Other Conditions: |
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