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POSITIVE RATE FINANCIAL

Quick Quote Request Form

Contact Name:

Contact Phone:

Email Address:

Fax Number:

How did you hear about us?

Positive Rate Account Representative:

I am the:

Loan File Status:
(Account Representative Use Only):

PROPERTY INFORMATION

Borrower/Company Name/Guarantors:

Please List All Credit Scores:

Type of Property:

Other:

Will this property be owner-occupied?

Year Purchased:

Purchase Price:

Property Address:

City, State and Zip Code:

Detailed Property Description:

Last Appraised Value/Year:

List All Improvements
Made With Costs:

Current Anticipated Appraised Value:

MULTI-FAMILY PROPERTIES

How many units does
this property have?

What is the mix of units?

Is this property either
Section 8 or student housing?

What is the percent occupancy?

HOSPITALITY PROPERTIES

How many rooms does
this property have?

What is the average
daily room rate?

What is the occupancy
percentage rate?

MIXED-USE PROPERTIES

List the specific components
this property has:

What is the total square
footage of residential?

What is the total square
footage of commercial?

LOAN DETAILS

Requested Loan Amount:

Purpose or Use of Funds:

List All Current Loans
/Liens On Property:

Type of Loan Needed:

Loan to Value (LTV):

Loan Type:

Fixed Term:

Amortization Schedule:

Current Mortgage Payments
and Payoff Amounts($):

Is this loan currently delinquent?

Yes
No

Have you been late on any mortgage payments including
your residence in the last 24 months?

Yes
No

If Yes, explain why?

Any Bankruptcies?

Yes
No

If yes, when?

INCOME

Current gross annual income of property:

Current net annual income before mortgage/depreciation:

Any proposed changes to improve income?

Please list any additional information or circumstances here:

POSITIVE RATE FINANCIAL (954) 943-8880