Commercial Loan Application Form

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LAND STAR FUNDING Commercial Loan Application Form Is there a Broker? Broker’s Name: Broker’s Address: Broker’s Tel. # Broker’s Email Address: Broker’s Fax # Broker’s Company: Borrower’s Name: Company Name: Address: Telephone #: Loan Amount Requested: “As is” Market Value: Purpose of Loan: Fax #: Social Security #: Loan Term: Loan to Value (LTV): Description of Property (including size and exact location): Description of Project: Do you currently own the property and, if so, for how long? Cost of land (if currently owned, what was the original price)? Amount of Borrower’s money in project: Land Star Funding (214) 335-8448; fax (214) 692-0012 1 Improved Market Value: Construction Cost: Existing Debt: Reason for Private Money Loan? Exit Strategy: Land Star Funding (214) 335-8448; fax (214) 692-0012 2

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