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Broker Information Borrower Information
Your Name (required) Borrower Name (required)
Your Company Co-Borrower
Your Phone (required) Borrower Phone (required)
Your Email (required) Borrower Email (required)
Approximate Credit Score    
Loan Information Property Information
Current Market Value of Property Property Street Address
Loan Amount Requested City
Lien Position California, Zip
Loan To Value/CLTV County
Loan Term (60 days to 5 years) Amount owed on Subject Property
Loan Program – Investor, Rehab or Business If Refinance, Date property was purchased
Property Type Original Purchase Price
Occupancy – O/O, NOO: O/ONOO Appraised Value
    Date of Appraisal
Purchase Information Cash Out Refinance
Purchase Price Amount of Cash Out
Underwriter Information
Reason Why borrower does not qualify for a conventional loan

Ability to Pay
Borrower Income Other Income
Co-Borrower Income Other
Loan Exit Strategy
Sale of Property YesNo
Target Sales Timeframe Target Sales Price/After Repair Value
Has loan been submitted elsewhere for approval? Status or Outcome?