Loan Application Hard Money In Pa Loan Application If you are interested in obtaining a loan, please complete the application below. Loan application form First Name * Last Name * Email Address Phone * Purpose of Loan Purchase OnlyAcquisition & RehabCash Out RefinanceConstruction OnlyStop Foreclosure/BankruptcyDebt Consolidation Refi I am BorrowerReferral PartnerCapital Investor Subject Property Address City State * Please select oneAlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Is This Your Principal Residence?* YesNo Type of Property Single Family ResidenceTownhouseCondoMulti Family (2-4 Units)Apartment Bldg (4 Units)Shopping CenterOffice BuildingBar/RestaurantLot/LandIndustrialOther Are You Currently In Foreclosure? YesNo Are You Currently In Bankruptcy? YesNo Requested Loan Amount Purchase Price (if purchase) Estimate Current Value of Subject Property Estimated Value After Rehab (if Applicable) Estimated Repair Cost (If Applicable) How Would You Rate Your Credit? Please select oneExcellentGoodFairBelow AveragePoorI Don't Know Credit Score Do You Have Any Current Loans On The Subject Property? No1st Mortgage2nd Mortgage1st & 2nd Mortgage If Yes, How Much Do You Owe (for all loans)? Mailing Address (if different than subject property address) City State Please select oneAlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Exit Strategy Comments/Questions