Funding Questionnaire
Please use the following page to submit the information needed to start your process.
First Name
Last Name
Email
Phone
Primary Residence
Entity Name
Est. Credit Score
Date of Formation
Property Type —Please choose an option—CommercialConstructionSingle Family HomeMixed Use
How Many Units?
Property Address
City
State —Please choose an option—North CarolinaIndianaWyomingUtahArizonaMontanaKentuckyCaliforniaKansasDelawareFloridaPennsylvaniaIowaMississippiIllinoisTexasConnecticutGeorgiaMarylandVirginiaIdahoOregonVermontMaineOklahomaTennesseeAlabamaArkansasSouth CarolinaWashingtonNebraskaWest VirginiaColoradoMassachusettsMissouriAlaskaNorth DakotaWisconsinNevadaNew YorkRhode IslandDistrict of ColumbiaHawaiiSouth DakotaMinnesotaNew JerseyMichiganNew MexicoNew HampshireLouisianaOhio
Zip
Annual Taxes
Annual Insurance
Annual HOA
Loan Type —Please choose an option—RefinanceGround Up ConstructionPurchaseRefinance + Cash OutCommercialPurchase + Rehab
Term —Please choose an option—24 months5/1 ARM10/1 ARM12 months7/1 ARM6 months30 yr Fixed
Purchase Price
As Is Value
ARV
Rehab Budget
Total Debt Owed on Property
If leased - monthly rental income
Date of Purchase (Acquisition Date)
Liquid Funds Available
Retirement Investment Funds
Total Personal Household Income
Have you had a foreclosure in the last 3 years? —Please choose an option—NoYes
Are you currently in active foreclosure? —Please choose an option—NoYes
Have you filed any bankruptcy in the last 3 years? —Please choose an option—NoYes
Have you ever been convicted of felony/fraud? —Please choose an option—NoYes
Are you a US citizen? —Please choose an option—NoYes
Do you own your home? —Please choose an option—NoYes
Investment Rehab Projects completed in the last 36 months:
Total Rentals currently owned:
Signature: (Please Use Your Mouse to Sign Below)
Today's Date
