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
*
Submit
Should be Empty: