BUSINESS LOAN APPLICATION

This is a Preliminary Application & Loan Request Summary, all information sent will be kept as confidential. To better assist you in financing a loan, please fill out the application thorough and accurately. Leave non-applicable fields blank.

You will be contacted by us within approximately 2 business days.

Fields marked with an asterisk ( * ) are required to be filled in.

Borrower Information
Company Name:
*First Name:
*Last Name:
Home Phone:
*Business Phone:
Best Time to Call:
Fax:
Web Address:
*E-Mail:
Address 1:
Address 2:
City:
State:	Zip:
Country (if not in the U.S.)

Loan Information
Project Name:
Property Address 1:
Property Address 2:
City:
State:	Zip:
Property Type:
Loan Type:	PurchaseRefinance
Loan Amount Requested:
Money available, equity or collateral for down payment
Purpose of Loan:
Strategy for Repayment of Loan:

Existing Mortgages / Liens
First Mortgage:	$
Payable to
Second Mortgage:	$
Payable to:
Other Liens
Any comments or questions: