USA Capital, Inc Loan Request Form

Deal/Property Name *

Name *

First

Last

Email *

Phone *

Fax *

Property Type *

"As Is Value" *

"As Completed Value"

How Determined *

Who or how the values above were determined?

Loan Amount *

LTV *

How much are you paying for the property? *

Do you have the property under contract? *

Credit Score *

How much cash are they coming into the deal with? *

Is this Subordinate Financing? *

What are the use of these proceeds? *

Are they in contract? *

Is there a deposit down? *

If "Yes" how Much? *

Is the deposit refundable? *

If "Yes" what is the expiration date? *

What is the existing mortgage? *

Who is the existing lendeer? *

What are the rates and terms? *

When was the property purchased and what was the purchase price? *

Is the property occupied? If so at what percentage?

Income and Expense? *

What is the NOI for the property? *

Are you able to provide a rent roll? *

What are the lease terms? Provide brief explanation *

How many square feet or acres is the property? *

Does the borrower have any additional collateral and if so will they allow us to cross collaterize? *

If there is a time constraint, please explain *

If they need bride/hard money, why? *

What is the Borrower's exit strategy? *

Is there anything else you wish to disclose about this deal? *

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