Hard Money Loan Application Form
Complete this form to apply for a hard money loan. Please provide accurate details about yourself, the property, and your investment plan so we can evaluate your application efficiently.
Borrower Information
Name
First Name
Last Name
Company Name (if applicable)
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Loan Request Details
Loan Amount Requested
Desired Loan Term
Please Select
6 months
12 months
18 months
24 months
Purpose of Loan
Please Select
Property Purchase
Fix & Flip
Refinance
Construction
Bridge Loan
Exit Strategy
Please Select
Sell Property
Refinance
Rental Income
Other
Property Information
Property Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property Type
Please Select
Single Family
Multi-Family
Commercial
Land
Mixed-Use
Purchase Price
Estimated After Repair Value (ARV)
Estimated Rehab Cost
Current Property Condition
Please Select
Excellent
Good
Needs Renovation
Major Repairs Needed
Investment Experience
Number of Completed Investment Projects
Describe Your Investment Experience
Financial Information
Estimated Credit Score Range
Please Select
500–599
600–649
650–699
700+
Annual Income
Liquid Assets Available
Outstanding Debt
Documents Upload
Upload Property Photos
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload Financial Documents
Browse Files
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Choose a file
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Additional Information
Additional Comments or Notes
Consent & Authorization
Signature
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: