Bridge Loan Application

In order to help us evaluate the feasibility of helping you in your funding requirements, please complete and submit the following form.

Applicant Information

Name

Email Address

Phone Number

Fax Number

Organization

Postal Address

Type of Entity:
Sole-Proprietorship | Partnership | Corporation

If a Corporation, please list below all officers, directors, partners, owners, co-owners, and all stockholders with 20% or more of stock below.

Name Title % of
Ownership

Specify Amount of Loan:

Predicted Credit Rating:

Explanation for Use of Funds:

Collateral

Type/Location of Real Estate Property:

Name of person holding title to property:

1st Lien:
Mortgage | Judgement | Mechanics

Amount:

Name of Organization or Person holding Lien:

2nd Lien:
Mortgage | Judgement | Mechanics

Amount:

Name of Organization or Person holding Lien:

(please list additional liens in comments section)

Appraised Value:

Current Zoning (select one):

If Income Producing, Amount:
per month

Describe Neighboring Properties/Structures & Zonings:

Exit Strategy

By what means is this loan expected to be repaid?

Comments: