NAME OF BORROWER *

FIRST

LAST

PHONE NUMBER *

EMAIL *

PROPERTY ADDRESS *

Line 1

Line 2

City

State

Zip Code

Country

CITIZENSHIP STATUS * CITIZENSHIP STATUS * U.S. Citizen Resident Work Visa Other

CREDIT SCORE *

NUMBER OF FLIPS COMPLETED IN PAST 3 YEARS *

BORROWER'S LIQUID ASSETS *

TYPE OF DEAL * TYPE OF DEAL * Fix and Sell Fix and Hold

PURCHASE OR REFINANCE * PURCHASE OR REFINANCE * Purchase Refinance

CURRENT MORTGAGE PAYOFF IF REFI *

TARGET CLOSE DATE *

AS IS VALUE *

PURCHASE PRICE *

REHAB COSTS *

ARV *

ADDITION INFORMATION *