Seattle, Bellevue, Tacoma, WA Commercial Real Estate Lending Borrower Information form

Please supply as much information as you can. Doing so will help us to expedite your loan request.

Borrower Information

Borrowing Entity:

Individual Partnership Corporation

Mailing Address: City: Zip:

Telephone:

Cell:

Fax:

Email:

Has any Borrower had a foreclosure or bankruptcy in the last 5 years?	No Yes
Has any Borrower had a derogatory public record in the last 5 years?	No Yes

Years in business?

List Individual Borrowers OR Principals of Entity:	% Ownership:	Net Worth:	Liquid Assets:	Credit Rating:
1.
2.
3.
4.

Loan Information

Requested Loan Amount:

Purchase

Refinance

Construction

Permanent Bridge
Acquisition/Development/Construction

Construction to Permanent Other:

Purchase Price:	Earnest Money Deposited:
How quickly do you need to close?	Are you in contract yet?	No Yes
Money Available for Downpayment:	Is Seller Financing available?	No Yes

Original Purchase Price:		Original Purchase Date:
Last Appraised Value:		Last Appraisal Date:
Current Balance Outstanding:		Maturity Date:
Name of current lien-holder:		Monthly Payment:
Prepayment penalty on current loan?	No Yes	Pre-payment Amount:
Amount of original down-payment:		Current interest rate:
Cost of improvements already made:		Cost of proposed improvements:
Description of improvements made:
If Cash-Out Refi, Proposed use of proceeds:

Purchase Price of Land:		Date of Land Purchase:
Last Appraised Value of Land:		Last Appraisal Date of Land:
Last Appraised Value of Project:		Last Appraisal Date of Project:
Existing lien on Land:		Project will be built by:
Total cost of Construction:		Number of units pre-sold:
Is Infrastructure completed?	No Yes	Has project been master-planned?	No Yes
Money Available for Project:		Is Seller Financing available?	No Yes

Property Information (if Construction, this is the proposed information)

Select Property Type:

(If "other" please describe):

Property Address: City: Zip:

Percentage of property to be owner-occupied:

If owner-occupied, what is nature of the business?

# of Buildings:		Building Sq Ft:		# of Units:		Acres:
# of Tenants:		Building Ages:		# of Stories:

Physical condition of building(s):
CURRENT Annual gross income of property:
CURRENT Annual expenses of property:

Permission to Contact Given By

Person completing this form:

Daytime Number:

Email:

How did you hear about this site OR who referred you:

Additional Comments: