Fairfield Financial Services, Inc. - Private Money Loans, Lending & Borrowing

PRELIMINARY LOAN APPLICATION

Please complete the following form in as much detail as possible and press "Submit Application" to send us your request.

BORROWER DETAILS

I am the borrower a broker other third party

Name:
Relationship to Borrower:
Company:
City:
State:
Business Phone Number:
Alternate Phone Number:
FAX:
Email:
Borrower's Name:
Name:
City:
State:
Business Phone:
Home Phone:
FAX:
Email:
Borrower's approximate mid credit rating:
Borrower's approximate yearly income:
Borrower's approximate net worth:
$
Will there be a co-borrower?
Yes No
Co-Borrower's Name:
Co-Borrower's approximate mid credit rating:
Co-Borrower's approximate income (per year):
Co-Borrower's approximate net worth:
$

PROPERTY DETAILS

Please Note: In California, Colorado, Florida, Georgia, Idaho, Montana, New York, Oklahoma, Texas, Washington and Wyoming we lend ONLY on commercial, business and investment properties. In Alaska, Nevada and Oregon, we will consider loans on all property types. We do not lend on any properties outside of these 14 states.

Subject Property Street Address:
City:
State:
AS-IS market value of the property:
$
Indications of this value:
Comps Appraisal Other
Describe other indicators of current value:
Subject Property Type:
Total Square Footage:
sq. ft.
No. of Bedrooms:
No. of Bathrooms:
Size of Lot/Parcel:
acres
Is the subject property (or will the subject property be) the borrower's primary residence?
Yes No
Total Square Footage:
sq. ft.
No. of Bedrooms:
No. of Bathrooms:
Is the home on land owned by the borrower?
Yes No
Is the home on a foundation?
Yes No
Size of Lot/Parcel:
acres
Is the subject property or will the subject property be the borrower's primary residence?
Yes No
Total Square Footage:
sq. ft.
Will the subject property be partially or wholly occupied by the borrower?
Yes No
Total Acreage:
acres
Total Square Footage:
sq. ft.
No. of Bedrooms:
No. of Bathrooms:
Please add any further description of the property:
For this property, proceeds of the loan will be used for:

Purchase

Refinance

Subordinate Financing

Purchase Price:
$
Will the seller carry back a second?
Yes No
Amount of carry-back:
$
Total amount currently owed:
$
Total amount of debt on property that will remain senior to our loan:
$
Will there be construction or rehab on this property?
Yes No
Projected market value of the property:
$
Indications of this value:
Comps Appraisal Other
Describe other indicators of projected value:
Please describe proposed construction/improvements:
Estimated cost of the above construction/improvements:
$
Will the loan encumber a second property?
Yes No
Secondary Property Street Address:
City:
State:
AS-IS market value of the secondary property:
$
Indications of this value:
Comps Appraisal Other
Describe other indicators of this current value:
Secondary Property Type:
Total Square Footage:
sq. ft.
No. of Bedrooms:
No. of Bathrooms:
Size of Lot/Parcel:
acres
Is the secondary property (or will it be) the borrower's primary residence?
Yes No
Total Square Footage:
sq. ft.
No. of Bedrooms:
No. of Bathrooms:
Is the home on land owned by the borrower?
Yes No
Is the home on a foundation?
Yes No
Size of Lot/Parcel:
acres
Is the secondary property (or will it be) the borrower's primary residence?
Yes No
Total Square Footage:
sq. ft.
Will the secondary property be partially or wholly occupied by the borrower?
Yes No
Total Acreage:
acres
Total Square Footage:
sq. ft.
No. of Bedrooms:
No. of Bathrooms:
Please add any further description of the property:
For this property, proceeds of the loan will be used for (check any that apply):

Purchase

Refinance

Subordinate Financing

Purchase Price:
$
Will the seller carry back a second?
Yes No
Amount of carry-back:
$
Total amount currently owed:
$
Total amount of debt on property that will remain senior to our loan:
$
Will there be construction or rehab on this property?
Yes No
Projected market value of the property:
$
Indications of this value:
Comps Appraisal Other
Describe other indicators of projected value:
Please describe proposed construction/improvements:
Estimated cost of the above construction/improvements:
$

LOAN DETAILS

Total Requested loan amount:
$
Requested term of loan:
months
Total amount of funds borrower will bring into closing:
$
Plan for repayment:
Sale Refinance Other
Describe other plan for repayment:
Required Closing Date:
Comments:
How did you hear about us?:
Send this application to: