Short Loan Application

Name: *

Email *

Phone *

Mailing address *

Mailing address

City

State/Province

Zip/Postal

Investment property address *

Investment property address

City

State/Province

Zip/Postal

APN *

Vesting name *

Estimated Retail Value *

Purchase price *

Requested Loan Amount *

Estimated repair cost *

Is the property under contract *

Yes

No

Proposed funding date *

Title Company:

Title Company Phone Number:

DELIVERING PRIVATE REAL ESTATE LOANS TO REAL ESTATE INVESTORS ON TIME AND AS AGREED FOR DECADES