Real Estate Loan Intake Form Let’s get started by filling out the form below. Real Estate Loan Intake FormContact Name *Contact Email *Contact Phone *Mortgage Type *ResidentialCommercialLoan Type *PurchaseRefinanceProperty Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeProperty's Purchase Price *Property's Current Market Value *Property's After Repair Value (if applicable)Total Amount Owed On Property (if refinance)Does This Project Require A Construction Loan? *YesNoProperty Use *Owner-OccupiedFix & Flip / Rehab RequiredRentalProperty Type *Single Family ResidenceMulti Family1-4 UnitsCondoTownhomeDuplexManufacturedStand Alone CommercialMixed Use CommercialLot / LandRetailChurchCannabisRV ParkGas StationOtherProperty Description *Existing Property Title *PersonalLLCCorporationTrustOtherRequested Terms *12 month24 month36 monthLongerDescribe Exit / Hold Strategy (copy) *Expected / Requested Closing Date *Company Name (if applicable)Borrower's Name *Borrower's FICO Score *Anything Else We Need To Know? *EmailSubmit