Benchmark Financial - Loan Application

Loan Application Form

PRELIMINARY APPLICATION & LOAN REQUEST
NO FEE REQUIRED WITH THIS APPLICATION

Date:

BORROWER

BROKER

Name:

Phone:

Fax:

Email:

TERMS REQUESTED

PROPERTY INFORMATION

Loan Amt:

Property type:

Rate:

Other Prop. Type:

Term (Yrs):

Property Size:

Sq.Ft. and/or

Amortization:

# of Units

ADDRESS OF PROPERTY

Street Address 1:
Street Address 2:
City:	State: Zip:

Do you have Appraisal? Yes No

Date of Appraisal:

Value per Appraisal:

Do you have an Environmental Report?

Yes No

Date of report:

Do you have Structural/Engineering Report?

Yes No

Date of report:

Your estimated fair market value of property?

Name of present holder of first mortgage?


Amount:		Rate:	Due Date:

Other mortgages?


Amount:		Rate:	Due Date:

Current property annual gross income:
Current property expenses:
NOI:
When does Borrower need to close the loan?	Please explain:

Is this a refinance? Yes No

Is this a purchase? Yes No

If cashout what is use of cashout proceeds?

Names of the principals of the Borrower:

IF PURCHASE

Is sale contract executed: Yes No

Describe business experience and background of Borrower:

Has Borrower submitted this loan request to another Lender? Yes No

If so, who?

Has Borrower's loan request been turned down by a bank or any Financial Institution? Yes No

If "YES" please indicate name of Bank(s) and why:

Any Environmental, Structural or Engineering problems with property? Yes No

If Yes please explain:

Deferred Maintenance? Yes No

If yes, cost of Deferred Maintenance:

Describe Deferred Maintenance:

Additional Notes or Comments:

The person executing this preliminary application and loan request represents and warrants that he or she is the potential borrower or an officer of the borrowing entity and has the power to execute this preliminary application and loan request and that all information in this document and any amendments, supplements and attachments are true and correct.