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Please complete the form below and submit to our office for review. We will do our best to assist you as quickly as possible. Thank you.

                                            THE BORROWER:

Borrower Name:

 

Borrower Address:

 

Borrower City:

 

Borrower State:

 

Borrower Zip:

 

Social Security:

 

Telephone Number 1:

 

Telephone Number 2:

 

Fax Number:

 

How Should We Contact You?:

 

Best Time:

 

THE REAL ESTATE COMPANY:

Real Estate Agent Involved?:

 

Real Estate Company:

 

Real Estate Agent:

 

Real Estate Agent Telephone:

 

Real Estate Agent Fax:

 

THE REFERENCE:

Referred By:

 

Telephone Number:

 

THE LOAN OFFICER:

Loan Officer Name:

 

Loan Officer Telephone:

 

THE PROPERTY:

Property Description:

 

Development Name:

 

Property Address 1:

 

Property Address 2:

 

Property City:

 

Property State:

 

Property Zip:

 

THE LOAN:

Loan Required:

 

Loan Purpose:

 

Existing Loan Balance:

 

Loan Maturity Date:

 

Current Interest Rate:

 

THE PRICE:

Sales Price:

 

Estimated Value:

 

Appraised Value:

 

Appraisal Date:

 

THE PROPERTY:

Zoning Code:

 

Building Square Footage:

 

Land Square Footage:

 

Building Width:

 

Building Length:

 

Building Height:

 

Number of Buildings:

 

Number of Stories:

 

Air Conditioning?:

 

Type of Air Conditioning:

 

Sewage or Waste Facility?:

 

Total Units:

 

Total Occupied Units:

 

Vacant Units:

 

Monthly Rent:

 

Average Rent:

 

Rent Roll Available?:

 

Improvements Made?:

 

Estimated Cost of Improvements:

 

Email:

 

   

 

I hereby authorize the Gulfstream Finance Corporation to verify my past and present employment earnings records, bank accounts, stock holdings, and any other asset balances that are needed to process my loan application. I further authorize Gulfstream Finance Corporation to order a consumer credit report and verify other credit information, including past and present mortgage and landlord references. It is understood that an Email submission and/or copy of this form will also serve as authorization. The information the obtained in this application is only to be used in the processing of my application for a loan.

 

Privacy Act Notice:This information is to be used by the agency collecting it or its assignees in determining whether you qualify as a prospective borrower under its program. It will not be disclosed outside the agency except as required and permitted by law. You do not have to provide this information, but if you do not your application for approval as a prospective borrower may be delayed or rejected

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