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Only fill out and submit if the property is under contract to purchase or if you currently own the property.

Entity Name*

Name*

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Address

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Email Address*

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Home Phone*

Mobile Phone*

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Do you live in the property or ever intend to live in the property?*

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Intended use of Property*

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Property Type*

Address*

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Purchase Price

Requested Loan Amount

Use of Funds

Estimated As-Is Property Value

Estimated After Repair Value (ARV)

How Do You Plan to Pay Off the Loan?

What is the OTHER option to pay off loan?

Do you have the property under contract?*

Renovation Budget*

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