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Email *
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Full Name
Phone Number
Estimated FICO Score
Number of Rentals Owned 
Do you own your primary residence? If not, please provide an explanation.
Property Address
Estimated Current Value
Estimated After Repair Value
Market Rents
Monthly Lease 
Annual Taxes
Annual Insurance
Residency 
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Exit Strategy 
Number of Flips/Fix and Holds Completed in the last 36 months
Program Applied for 
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Any Mortgage Lates, Bankruptcies, or delinquencies? If so, please explain.
If Short Term Rental, Have you owned an STR for the past 12 months, or does the subject have 12 months of STR history?
If Short Term Rental, What are the current monthly STR estimates
If Short Term Rental, How much rental income has been collected in the last 12 months? 
Loan Type
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Mortgage Balance owed (If Refi or Ground-up)
Construction or Rehab Cost (Please explain the scope of work) 
Land Value (Ground-Up Only)
Desired Loan Amont
Any challenges, or unusual circumstances? 
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