Rental Purchase/Refinance Application

Pre-Qual Form

Owner First, M.I., Last Name:

Partner(s) ? (If none type "None")

Primary Address

City, State, Zip Code

Phone:

Email:

Birth Date

SS #

Business Legal Name:

What Type of Entity ?

Are you a US Citizen or Perm. Resident ?

Ever had any Bankruptcies ?

If yes, Month/Year it was Discharged

Ever had a Foreclosure ?

Current on all Mortgages ?

Are you currently in Forbearance ?

Estimated Credit Score ?

How much Cash Reserves & Credit ?

Additional Comments:

Property Street Address

Property Street Address 2

Property City, State & Zip Code

Is property currently under contract ?

Contract Purchase Price

As Is Value

Targeted Close Date

Property currently rented ?

Anticipated or Actual Monthly Rent

Insurance Cost (Annual)

Property Taxes (Annual)

HOA/Condo Fees (Annual)

Title Company Contact Name

Title Company Contact Phone Number

Title Company Contact Email

Insurance Company Contact Name

Insurance Co. Contact Phone Number

Insurance Company Contact Email

Additional Comments

I confirm the info I have provided is accurate to the best of my knowledge. I understand this info will be used solely to provide a "funding quote" for business funding and that receiving such does not constitute an approval for funding until fully underwritten.

Rental Purchase/Refinance Application

Pre-Qual Form

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