Brock C. Salazar

Owner/Broker

Real Estate Investment Loan Application

First Name *

Last Name *

Date of birth

Phone *

Email *

Primary Address- Where you currently live *

City *

Postal code *

State *

Borrower Employment Status *

Employed

Self-employed

Unemployed

Retired

Borrower Employment Status

Job title /Title

Employment Start Date

Employer Name, Phone, Address, Email and Contact

Do you Rent or Own?

Prior address if less than 2 years.

How much is your montly housing payment?

How long have you lived at this address?

Social Secuirty Number: (We must pull your credit.)

Social security card borrower / guarantor

Drivers License Number

State Drivers License Upload

State Driver's License Upload

Credit Score

Credit Report Upload

Upload Credit Report here or copy of scores

Upload Credit Report here

Legal Business Name that is or will be on title:

Full business address including City, State & Zip:

Legal Entity: (Corp, LLC, Sole Prop, etc)

Signed Articles of Incorporation

Articles of Incorporation

Business Phone:

Business Email:

Business classification: (Retail, Restaurant, Services, Internet, Mail Order, etc)

Company Owner Name

Percentage of Business Ownership:

Business Established Date:

Ownership Date if different from Business Start Date

Signed Operating Agreement

EIN

EIN Letter Upload Here

Business Website

Subject Property Address

Purchase Price or Loan Amount Requested

Estimated Annual Property Taxes

Current Insurance Yearly Premium

HOA Monthly Dues

Rehab Budget

Amount of funds available for this project from you

Upload Scope of Work /Consruction Costs

Upload Scope of Work or Rehab Contract

Project Description

Projected After Repair Value

Exit Strategy

Has this project been turned down by or submitted to another lender?

Upload Investor Track Record

Total investment to date

If Refinance how long have you owned the property?

Original Purchase Price

Current Outstanding Mortgage Balance

Upload Mortage Payoff Demand

Borrower Signature

Clear

Borrower/Guarantor Signature

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