LOI Request Form – Fax to 866 308 3447 Contact Person Date

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					                                                    LOI Request Form – Fax to 866 308 3447

                              Contact Person_________________________________ Date ________________________________


                                                                       Letter of Intent Request Form


                               Borrow er                                                                                  Broker Firm



                                                                                                                          Broker Name
                              Contact Name



                                Address                                                                                     Address




                                 Phone                                                                                      Phone




                                  Fax                                                                                         Fax


                                 Email                                                                                       Email



Borrower Entity Type



□   Corp.   □   Partnership   □ □LLC       Other
                                                                                                                      Taxes Current? (Y/N)



Ow ners Names                                                                      %                     Name                                               % Owned
                                                                                Owned



Guarantors Names                                                                                      Relationship                      Net Worth       Credit




                                                                           Loan Background

                                         Loan Type       □   Purchase      □   Refinance     □       Renovation/Remodel/Rehabilitation


                    Collateral Type:   □   Office   □   Multi-family   □   Industrial   □   Mixed Use     □    Land   □   Other______________________


                                                             Collateral Status   □      Stabilized   □   Unstabilized

                                Gross Loan Amount_________________________ Collateral Value________________________

                                Purch. Price______________________ Borrower Equity_________________________________


                                                    Seller Carry___________________________________________
            When is/was property purchased___________________________________ LTV_____________

            Are existing loans current? If not, which loans?_________________________________________

            Are any properties in foreclosure? ___________Previous Borrower Bankruptcy?______________


                       Why is the borrower seeking hard money instead of traditional financing?

________________________________________________ _______________________________________________________

_______________________________________________________________________________________________________

                          Primary Exit Strategy & Years Experience with this type of project

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

                             Secondary Exit Strategy Years in business under this entity


__________________________________________________________________ _____________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________


                              Use of proceeds & Amounts
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________




                Use Additional Space To Explain Details Here If Needed
                                                            Collateral
 Property Address           Existing Lienholder Lien Pos.   Lien Amount   Prop erty Type   Occupied ? Est.Value




                                          Additional Collateral




                                            Proposed Terms



_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________ ________________________________________________


_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________



                                    Loan Term                 Timing



              Original Maturity____________________ Est. Closing________________________


                                       Fax to 866 308 3447

A Consultant Will Contact You Within 2 Business Days upon faxing this completed
 form to us. We look forward to helping you achieve your commercial investment
                                      goals!

				
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Description: Ma Letter of Intent to Purchase document sample