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Fix and Flip Intake Form
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-
Step
1
of 4
Are you a loan officer or working with one?
*
--- Select Choice ---
Yes
No
What is the loan officer's name?
*
First
Last
What is the loan officer's email address?
What is the loan officer's phone number?
Borrower Information
Borrower Name
*
First
Last
Cell Phone
*
Co-Borrower Purchase loan
Email
*
Approximate Credit Score
*
--- Select Choice ---
450-599
600-619
620-639
640-659
660-679
680-699
700-719
720-739
740-850
Indicate Bankruptcy or Foreclosure
*
--- Select Choice ---
Yes
No
Approximate discharge date of BK or FCL?
*
Date or Approximate Month / Year
Next
Borrower's Experience
Number of Fix and Flips in the past 36 months?
*
--- Select Choice ---
0
1
2
3
More than 3
Is the borrower a realtor?
*
--- Select Choice ---
Yes
No
How many years?
*
Is the borrower a licensed contractor?
*
--- Select Choice ---
Yes
No
How many years?
*
Please provide any other relevant experience
Is there a Co-Borrower on this loan?
*
--- Select Choice ---
Yes
No
Co-Borrower Information
Co-Borrower Name
*
First
Last
Cell Phone (Co-Borrower)
*
Email
*
Approximate Credit Score (Co-Borrower)
*
--- Select Choice ---
450-599
600-619
620-639
640-659
660-679
680-699
700-719
720-739
740-850
Indicate Bankruptcy or Foreclosure (Co-Borrower)
*
--- Select Choice ---
Yes
No
Approximate discharge date of BK or FCL?
*
Date or Approximate Month / Year
Co-Borrower's Experience
Number of Fix and Flips in the past 36 months?
*
--- Select Choice ---
0
1
2
3
More than 3
Is the Co-Borrower a realtor?
*
--- Select Choice ---
Yes
No
How many years?
*
Is the Co-Borrower a licensed contractor?
*
--- Select Choice ---
Yes
No
How many years?
*
Please provide any other relevant experience
Previous
Next
Subject Property Information
Have you identified the subject property?
*
--- Select Choice ---
Yes
No
Is your subject property inside our service area? (WE DO NOT LEND IN: Arizona, California, Minnesota, Nevada, North Dakota, Oregon, South Dakota, Vermont)
*
--- Select Choice ---
Yes
No
Subject Property Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Number of Units?
*
--- Select Choice ---
1
2
3
4
More than 4
Type of Construction
*
--- Select Choice ---
Cosmetic Rehab
Gut Rehab
Gut Rehab Adding Sq. Ft.
Transaction Type
*
--- Select Choice ---
Purchase
Refinance
As Is Property Value
*
Original Purchase Price
*
Purchase Price
*
After Renovated Property Value
*
Approximate Estimated Renovated Value
Is construction budget being financed?
*
--- Select Choice ---
Yes
No, Paying out of pocket
Total construction budget for the property
*
Is there a current lien/mortgage on the property?
*
--- Select Choice ---
Yes
No
What is the current lien balance?
*
Estimated Transaction Summary
(Calculated by Centrifund)
Estimated Purchase Money Loan Amount
$0.00
Maximum Total Loan Amount
$0.00
Maximum LTV %
Note: Maximum LTV cannot exceed 70%
Estimated Initial Loan Amount (Refinance) ILA can only be used for Lien Payoff, Closing Costs, or Interest Reserve - NO CASH OUT
$0.00
Maximum Total Loan Amount (Refinance)
$0.00
Maximum LTV % (Refinance)
Note: Maximum LTV cannot exceed 70%
Previous
Next
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