Contact Name

Contact Name:	(required)
Contact Phone (1):	(required)
Contact Phone (2):
Fax:
E-mail:	(required)
Requested Loan Amount: $
Minimum Loan Amount Required: $
Type of Loan Requested:
	If Acquisition, list the price:	$
	If Rehab, List cost of Repairs:	$
Type of Property:
Length of Term:
Requested Interest Rate:	%
Current Property Value:
Projected / Completed Property Value:	(if applicable)
Date of Purchase:	(mm/dd/yy)
Describe the Property in Detail:
Appraisal:	Yes No N/A
	If Yes: Date of Appraisal:
	If Yes: Value of Appraisal:

Use of Funds (be Specific):
Location (City):
Location (State):	(required)
Borrower Cash in Project:
Additional Cash Available for Project:
Total Amount Owed on the Property:
Are your payments Current?	Yes No N/A If "Yes" how many months behind?
Are your Taxes Current?	Yes No N/A If "No" what is the amount owed?
Funding Deadline:	(mm/dd/yy)
Are your Financials Available?	Yes No N/A
How is the borrowers credit ranked?
Borrower's Credit Score(s) (if available):
Additional Collateral Available:

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FundingEdge.com
234 West Bandera Road, # 313, Boerne, Texas 78006 Phone: (210) 249-2111 & (830) 331-4030 Fax: (830) 331-4025