Real Estate Investment Loan Application
Questions? Contact us Monday - Friday between 9am and 5pm at 636-223-4262
Primary Borrower General Information
Your Name*
First Name Middle Name Last Name Suffix
Birth Date*
Month Day Year
Date
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code
Do you rent or own your home?*
Own Rent
Are you Self Employed?*
Yes No
Name of your Employer*
Will you apply for this loan with a co-borrower (other than a spouse)*
Yes No
If Yes, what is the name of the co-borrower?
Marital Status*
Married Single Separated
Spouse General Information
Must be completed for all married applicants.
Will your Spouse have a marital interest in any property that you purchase?
Yes No Other
Spouse's Name
First Name Middle Name Last Name Suffix
Spouse's Birth Date
Month Day Year
Date
Spouse's Phone Number
Please enter a valid phone number.
Spouse's Email
This email cannot be the same as above.
Is Spouse Self Employed?
Yes No
Spouse's Name of Employer
Income Information (Monthly)
If not applicable, please input "0" instead of leaving a field blank.
Net Monthly Income*
Net Rental Income Monthly*
Expenses (Monthly)
If not applicable, please input "0" instead of leaving a field blank.
Monthly Mortgage OR Rent Payment*
Monthly Insurance Payment(s)*
Monthly Auto Loan Payment(s)*
Total Credit Card Debt*
Monthly Student Loan Payments*
Monthly Child Support / Alimony Payments*
Total Liens / Judgements*
Liquid Assets
Money in checking and/or Savings*
Cash on Hand*
401K / IRA / Brokerage Account:*
Fixed Assets
(Real Estate Investment valuation will be evaluated on another form)
Total automobile owned value*
Personal Property Value*
house, trailer, boat, etc.
Declarations
If you answer "Yes" to any questions 1-6, please submit a full explanation with your other document submissions.
1. Are there any outstanding judgements against you?*
Yes No
If yes, please explain?
2. Have you declared bankruptcy in the past 7 years?*
Yes No
If yes, please explain?
3. Have you had property foreclosed on in the past 7 years?*
Yes No
If yes, please explain?
4. Are you a party to a current lawsuit?*
Yes No
If yes, please explain?
5. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?*
Yes No
If yes, please explain?
6. Have you ever had a landlord action against you, been evicted from a tenancy or left owing money?*
Yes No
If yes, please explain?
Business Entity
Do you intend to purchase property in the name of a Corporation or LLC?*
Yes No
If yes, What is the Business name?
Is this an LLC or Inc.?
LLC Inc
In what state was your business formed?
If married, does your spouse have an ownership interest in this business?
Yes No
Referral Information
Since we are a growing local business, we would love to know how you found out about us.
Referrer's Name
Your Signature*
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