SIGNER INFORMATION

Name/Company *

Birth/Registry *//

Social Segurity/TAX ID/EIN *

E -Mail *

Phone *

Alternate Phone

Address *

Dirección (línea 1)

Dirección 2

Ciudad

Provincia

Código Postal

Home status *

Own
Rent

Hobbies

Marital status *

Number of children

Valor seleccionado: 0

Number of dependents

Valor seleccionado: 0

(SELF)EMPLOYMENT INFORMATION

Employment *

Company name *

Start date *//

Phone number *

Address *

Dirección (línea 1)

Dirección 2

Ciudad

Provincia

Código Postal

Position *

Business branch *

Income *

Co-Signer *

Yes
No

CO-SIGNER INFORMATION

LOAN INFORMATION

Amount loan *

Property address *

Dirección (línea 1)

Ciudad

Provincia

Código Postal

LOAN INFORMATION

Have you been past due on and financial obligations in the past 12 months? *

Si
No

Have you filed bankruptcy or any other insolvency? *

Si
No

Have you had any IRS or property tax liens or judgements *

Si
No

Mechanics Liens? *

Si
No

Have you been involved in a foreclosure or garnishment? Have you ever been convicted of a felony? *

Si
No

Additional comments?

DISCLIMER

Agree 1 *

I have read and agree

I have applied for a commercial hard money loan from Equidem Management. In applying for the loan, I have completed a loan application. I certify all the information is true and that I have not made any misrepresentations in it or any other documents, nor did I omit any pertinent information. Any Fraudulent information will automatically disqualify your loan application.

SIGNATURES

SIGNER NAME typed *

SIGNER signature

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Date *//

ATTACH DOCUMENTS

Identification *

Haz clic o arrastra un archivo a este área para subirlo.

Utility bill (borrowers name) *

Haz clic o arrastra un archivo a este área para subirlo.

One months most current bank statements *

Haz clic o arrastra un archivo a este área para subirlo.

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SIGNER INFORMATION

(SELF)EMPLOYMENT INFORMATION

CO-SIGNER INFORMATION

This information only shoud be filled out in case of a co-signer must be required.

LOAN INFORMATION

LOAN INFORMATION

DISCLIMER

SIGNATURES

ATTACH DOCUMENTS

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