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Name *

First

Last

Email *

Street Address *

Address Line 2

City *

State / Province / Region *

Zip / Postal Code *

ARV (After Repair Value) $

As-Is Value $

Purchase Price $

Rehab Budget $

If Refinance, Current Balance $

If under contract, what is the close of escrow date?

Number of deals in the last 3 years?

Number of deals in the last 2 years?

Loan Type?

Property Type?

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What is Your Career?

Approximate Annual Income?

Co-Borrower's Career?

Co-Borrower's Income?

Borrower: Checking/Savings

Approximate Amount of Funds You Have to Invest

Co-Borrower: Checking/Savings

Borrower: Retirement IRA/401K

Co-Borrower: Retirement IRA/401K

Borrower: Credit Score

How Is Your Credit?

Co-Borrower: Credit Score

Any Bankruptcies, Foreclosure, Felonies or Judgments?

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Do you know anyone else looking for financing RIGHT NOW?

How did you hear about us? *

What county and state do you live in?

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