First Name:

Last Name:

Email:

Phone:

Primary Residence:

Entity Name:

Est. Credit Score:

Property Address:

State:

City:

Zip:

Loan Type:

Term:

Purchase Price $:

As-is Value $:

ARV $:

Rehab Budget $:

Total Debt Owed on Property $:

If Leased - Monthly Rental Income $:

Liquid Funds Available $:

Retirement/Investment Funds $:

Funds Gifted to You $:

Have You Had a Foreclosure
in the Last 3 Years?

Are You Currently in Active Foreclosure?

Have You Filed any Bankruptcy
in the Last 3 Years?

Have You Ever Been Convicted
of Felony/Fraud?

Are You a US Citizen?

Investment Rehab Projects
Completed in the Last 36 Months:

Total Rentals Currently Owned:

Who Are You Working With?