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Submission Date:
Account Executive:
Contact Name:
Company:
Office Phone:
Fax:
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Borrower:
FICO (Low, Mid, High):
Co-Borrower:
FICO (Low, Mid, High):

Property Type (Choose One)

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If Other Please Describe:

Subject Property

Address:
City:
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Zip:
Number Of Units:
Total # Of Buildings:
Occupancy %
Owner Occupancy %
Building Size
Acreage
Detailed Use Of Units

Loan purpose, occupancy, and type
(Check all that apply)

Requested LTV%
Requested CLTV%
Source of Second
Requested Rate
Rate Term
Purpose of Cash Out
If refinance, is there a Balloon?
Balloon Payment Due Date
If purchase, Purchase Contract Due Date
If necessary can an extension be issued
Property Value
Purchase Price (if refi add all existing liens)
Cash Out or Additional Financing / CLTV
Down Payment
Total Loan Amount Requested

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