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Date:
/ / Name of Borrower:

E-mail Address:

Home Address:

City:
State:
Zip:
Phone:
Cell:
Fax:


Property Address:

City:
State:
Zip:


House: Yes No
Square feet: Bedrooms: Bathrooms:
If Apartment building, number of units: Total monthly rent:

After Repair Value (ARV):
Purchase Price:
Repair & Cost Form total:
Are your plans to sell or refinance?
Timeframe needed for rehab:


Declarations
 
Yes
 No
1. Are there any outstanding judgments against you?
2. Have you been declared bankrupt within the past 7 years?
3. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
4. Are you party to a lawsuit?
5. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guaranty?

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Signature Form
 
 
Office: 904-396-0072
Fax: 904-396-0083
Email: paul@pacelending.com
2002 San Marco Blvd, Suite 204, Jacksonville, FL - 32207
 
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