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206-362-4444
Submission Form:
Fields marked with an * are required.
Contact Information
*First Name:
*Last Name:
Company Name:
Role:
Broker
Real Estate Agent
Borrower
Other 3rd Party
*Address:
*City:
State:
Zip:
*Phone Number:
*e-mail address:
Loan / Property Information
*Borrower Name:
Borrower Type:
Corporation
Estate
Individual
LLC
Partnership
Trust
Other
*Subject Property:
Estimated Value:
Approx Balance Owing:
*Address:
*City:
State:
Zip:
Additional Collateral Property Type (if applicable):
Estimated Value:
Approx Balance Owing:
Address
City:
State:
Zip:
Requested Loan Amount:
Purchase / Refinance
Loan Purpose:
Subject Property Use
Refinance
Pruchase
Investment
Primary
Secondary
Purchase price:
Purchase date:
Subordinate financing amount:
Rehab / Construction
Loan Purpose:
Subject Property Use
Construction
Rehab
Investment
Primary
Secondary
Land cost:
Current value:
Const cost:
Completion value:
Subordinate financing amount(if any):
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