Real Estate Loan Application

Loan Information

Purpose of Loan(Required)

Purchase

Refinance

Purchase Price(Required)

As-Is-Value (AIV)(Required)

Payoff Amount(Required)

Acquisition Date(Required)

Month

Day

Year

Title Agent

Providing inaccurate contact information can delay your loan file.

Title Agent Name(Required)

First Last

Title Agent Email(Required)

Title Agent Phone(Required)

Insurance Agent

Insurance Agent Name(Required)

First Last

Insurance Agent Email(Required)

Insurance Agent Phone(Required)

Property Information

Address(Required)

Street Address Address Line 2 City State ZIP Code

Property Type(Required)

Single-Family Residence

Townhome

Condo

How Many Units?(Required)

Point of Contact for Inspection

Access Contact Name(Required)

First Last

Access Contact Email(Required)

Access Contact Phone(Required)

Property Access Instructions

Project Details

Estimated Cost of Rehab(Required)

Estimated Days Required(Required)

After Repair Value (ARV)(Required)

Repairs Done To Home?(Required)

Yes

Cost Of Rehab?(Required)

Information For Government Monitoring Purposes

The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for “Ethnicity” and one or more designation for “Race.” The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.

Borrower

I do not wish to provide this information

Ethnicity(Required)

Hispanic or Latino

Not Hispanic or Latino

Hispanic or Latino(Required)

Mexican

Puerto Rican

Cuban

Other

Other Hispanic or Latino(Required)

Race(Required)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Name of Enrolled Tribe(Required)

Asian(Required)

Asian Indian

Chinese

Filipino

Japanese

Korean

Vietnamese

Other Asian

Other Asian(Required)

Native Hawaiian or Other Pacific Islander(Required)

Native Hawaiian

Guamanian or Chamorro

Samoan

Other Pacific Islander

Other Pacific Islander(Required)

Sex(Required)

Male

Female

Declaration Of Non-owner Occupancy & Business Use Of Proceeds

I (“Borrower”) certify and represent to lender (“Originator”) as follows:

I hereby declare that I have no intention of making the property (subject property listed in my loan application) my principal residence.

Additionally, I declare that I have no intention of utilizing the property as a second home and/or any surviving spouse or family member shall live in the property. I understand that this loan is a business purpose loan and not a household purpose loan. The loan proceeds are intended to be used and shall be used for business purpose only, not for personal use.

I represent that I understand the difference between consumer loan for personal purposes and a commercial loan for business purposes. I represent that this loan is not a consumer loan and therefore is not subject to any laws relating to consumer loans under any state or federal laws such as Truth in Lending Act (15 U.S.C. § 1601 et seq.), Real Estate Settlement Procedures Act (12 U.S.C. § 2601 et seq.), Gramm‐Leach Bliley Act (15 U.S.C. §§ 6802–6809), Secure and Fair Enforcement Mortgage Licensing Act (12 U.S.C. § 5101 et seq.), and Homeowners Protection Act (12 U.S.C. § 4901 et seq.).

I realize the lender, broker, assignees and successors rely upon this information. I confirm I have read and understand this document. I declare under penalty of perjury the foregoing is true and correct.

Authorization To Conduct Credit & Background Check

I (“Borrower”) certify and represent to lender (“Originator”) as follows:

By signing this form, I/we hereby authorize lender to conduct a background and/or credit check. Additionally, the undersigned and each party to this loan, authorizes lender to disclose to any third party, employee, agent or assignee thereof information regarding background and credit experience.

I understand that it is a federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements when applying for this mortgage, as applicable under the provisions of title 18, united states code, 1014. I also understand that the lender intends to use the data obtained through the investigation for due diligence purposes only, and shall not disclose such information to any other party.

Entity Name

Borrower Name(Required)

Co-Borrower Name

Borrower Email(Required)

Borrower Social Security Number(Required)

Borrower Signature(Required)

Co-Borrower Signature

Date(Required)

Month

Day

Year

Date

Month

Day

Year