Real Estate Loan Quote / Mortgage America - Hard-to-Place Residential/Commercial/Business Loans Specialist

First BizCapital

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Contact Information
Company Name:
Contact Name:
Title:
Address:
City & State:
Zip Code:
Phone:
Fax:
*Email:*
Website URL:
Borrower Information
Individual Name:
Legal Name of Business:
DBA:
Legal Entity:
Address:
City, State:
Zip Code:
Phone:
Fax:
Email:
Website URL:
*Credit Type:*
Property Information
Property Type:
Property Name:
Address:
City, State:
Zip Code:
Year Built:
Number of Building:
Number of Unit:
Occupancy Rate:
Annual Gross Income (2006):
Annual Net Operating Income (2006):
Annual Gross Income (2007):
Annual Net Operating Income (2007):
Year to Date Gross Income (2008):
Year to Date Net Operating Income (2008):
Sales Price (New Purchase):
Original Purchase Price (Refinance/Equity):
Present Market Value (Refinance/Equity):
Date of Purchase (Refinance/Equity):
Loan Balance (Refinance/Equity):
Lien Position:
Current Interest Rate (Refinance/Equity):
Loan Maturity (Refinance/Equity):
Land Cost (Land/Construction):
Construction Cost (Construction/Renovation):
Future Completion Value (Construction/Renovation):
Financing Information
Purpose of Loan
Requested Loan Amount:
*Purchase Contract in Place (New Purchase) :*
Verifiable Cash & Liquid Assets (New Purchase):
*Desired Program:*
*Desired Term:*
Use of Proceeds:
Plan for Repayment:
Other Important Information:
The foregoing information is provided by an authorized company representative or broker consultant, and is true and correct to the best of my knowledge. Upon clicking the Submit button, First BizCapital or its agents are authorized to verify and investigate any or all of the foregoing statements. First BizCapital is granted the right to procure credit information pertaining to all principals listed in this application.

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Commercial Real Estate Loans | Apartment Loans | Construction & Land Loans | Hard Money Loans | Real Estate Notes

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may change without notice, and does not contain all of the applicable terms,

conditions, limitations and exclusions of the products and services described herein.