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In the past, have you submitted this
project to another lender?  

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Do you have project
Documents ready for submission?  

*

 


Principle Contact
Information
Project Name *
Project Type

*
First Name *
Last Name *
Address *
City *
State / Province *
Zip / Postal Code *
Country *
Home Phone *
Cell Phone *
Fax Phone *
Work Phone *
Email Address <–Submitters
Email*
   


Service Information
Mortgage Broker Name
Mortgage Broker Phone
Mortgage Broker Cell Phone
Mortgage Broker Fax Phone
Mortgage Broker Email Address


Referring Agent/Broker
Name
Referring Agent/Broker Phone
Referring Agent/Broker Email
   


Project Information
Brief Profile Of Project

*
Requested Loan Amount *
USD, MUST BE $10M plus for JV.  JV deals must be
real estate related, energy or Precious Metals and
Gemstones.
Abbreviated Use of Proceeds
Summary		 *
Value of Real Estate "As-is "
Today		 *
USD
Value of Real Estate upon
completion (if applicable)		 * USD.
Applicants Cash Investment in
project		 *
USD, Include any existing
loans on project, cash invested into project, and equity
existing on the project.
Loan Payoff Strategy / Exit
Strategy		 *

Concerns in Funding this
Project / Timing to Close 		*

Complete Address of Project
 *
   
Prepared By <–Submitters
Full Name*
Date *
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