LOAN INQUIRY WORKSHEET

ALL APPLICABLE QUESTION MUST BE ANSWERED

PROJECT BASIC INFORMATION

Incomplete answers will invalidate this form

Full Legal name of Borrowing Business

Entered By

(Agent, Borrower, etc.)

Who referred you?

Borrower's Credit score(s) if known

Borrower's (Principal's) Credit

(if Credit Scores not known)

Type of Documentation

you can provide.

The less docs you can provide,

the higher the interest rate

Select documentation you can provide Full Doc: I can prove my Income and assets (best rate) Stated Income: I Can Prove Assets Only (slightly higher rate) Stated Income: Stated Assets - I Cannot prove Income or Assets (Higher than stated)

Balance of all bank accounts

Current Annual Business Income

Value of property as is today

$

When do you need the money

When do you need the money 0-30 Days 31-60 Days 61-90 Days Over 90 Days

How much do you need to borrower from us (Dollar amt. Only - Not %)

$

How much Down Payment do you have

(Dollar amt. Only - Not %)

Do you have Appraisal Money

(approx 1,500 - 3,500)

(or more for large projects).

Do you have closing Costs (2-5% of loan amt) ( for Purchase only)

(taken from funds if refinance)

Loan Purpose (if other describe in summary notes below.

PURPOSE OF LOAN Purchase Refinance - Cash Out Refinance - To Lower Monthly Payment Refinance - To lower Interest Rate Refinance - To Change Loan Term Refinance - Other Construction Loan - Construction only Construction - Permanent (const. and end loan) Rehab Line of Credit - Secured Line of Credit - Unsecured Credit Card Receivables Invoice receivables Revolving Business Line of Credit

What interest rate or range of rates are you realistically looking for?

Cost of construction

(if this is a construction project)

What will be used as collateral

Select One The Property Itself A different Property (cross collateralizing) No Collateral - Unsecured Loan My Home Someone else's home or property Property from multiple people  

How much of Borrower's own cash has already been invested into project (incl. Down payment if already paid)

$

How much of borrower's Own Money from Reserves can principals put into the project after the loan is closed? (not taken from loan funds)

$

Is the land on which the project is to be constructed already owned by the Principals

(if construction project)

Yes/No/NA N/A No Yes  

Do Principals have all the necessary State, City and other gov't approvals already in place

(if construction)

Yes/No/NA N/A No Yes  

( Summaries: Please describe Project Details in your own words)

(Do not exceed max characters in each field - Spaces count as characters)

Loan payoff strategy - Where & How will the funds come from to repay this loan? (100 Characters Max)

Principals background years & experience that relates to this business

Select One Less than 1 year in this or similar business 1-2 years in this or similar business 3-5 years in this or similar business 6-10 years in this or similar business More than 10 years in this or similar business No Experience in this or similar Business There will be management with over 3 years experience

Brief breakdown of how funds are going to be used (50 Characters Max)

Brief project profile & notes. 

Describe the purpose of the loan including the kind of business, etc.) 100 Characters Max.