Short Refinance Application

Property Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Borrowers Name*

First Last

Phone*

Fax Number

Mortgage Amount Requested*

Mortgage Balance*

Estimated Value*

Current Mortgagee Name*

First Last

Mortgagee Address*

Street Address Address Line 2 City State ZIP Code

Account Number*

Original Purchase Price*

Purchase Date*

Cash Out*

Purpose For Refinance*

Terms Requested*

Property Type*

Property Description*

Property Section*

Property Block*

Property Lot*

Total Square Footage*

Number of Apartment/Units in Subject Property*

Number of Stores in Subject Property*

Number of Offices in Subject Property*

Number of Stories in Subject Property*

Number of Buildings in Subject Property*

Number of Garages in Subject Property*

Number of Parking Spaces in Subject Property*

Basement (If Applicable)

Finished
Unfinished

Laundry Room (If Applicable)*

Yes
No

Percent of Income From Commercial Units*

Leases*

Yes
No

If Yes, Are Leases Triple Net?

Yes
No

Rent Controlled Aparment Units*

Yes
No

Owner Occupied Units?*

Yes
No

Rent Roll

Max. file size: 128 MB.

Please complete our Rent Roll and Operating Statement in its entirety and upload that document using the upload button below.

Referral Partner (LO)*

First Last

Referral Partner Phone

Borrower Name*

First Last

Borrower Email*

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