JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Short-Form Initial Application
Borrower Name
Your answer
Email
Your answer
Phone Number
Your answer
SUBJECT PROPERTY ADDRESS:
Your answer
Property Type
Single Family Residence
2-4 Units
5+ Units
Condo
Commercial
Land
Other
Clear selection
Credit Score
Your answer
Borrower Type
Individual
Trust
LLC/CORP
Other:
Clear selection
Proposed Loan Amount
Your answer
Occupancy
Owner
Non-Owner
Clear selection
New Lien Position
1st
2nd
3rd
4th
Clear selection
Transaction Type
REFI: RATE & TERM CASH OUT
PURCHASE
Clear selection
Purchase Price
Your answer
Appraised Value
Your answer
Existing Lien Balance (If Any) Include 1st, 2nd, and 3rd as applies
Your answer
Outside Broker Fees
Your answer
Loan Purpose
Your answer
Additional Notes/Information to consider
Your answer
How did you hear about us? If you were referred, kindly tell us who referred you.
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Equity Funding Source.
Report Abuse
Forms
