Equity Gap Lending

Online Application

Please fill out the information below, click "submit", and an Account Representative will be in touch with you shortly. If you also complete the forms shown above, it will speed our review of your loan request. Click here for a printable application.

* Indicates required field
*Project Name:
Project/Property Address:

*City:
*State:		Zip:
Desired Loan Amount $1,000,000 minimum* (Required format: x,xxx,xxx)
Purpose of Loan: (200 max characters)
Description of Collateral: (200 max characters)

*Estimated Current Market Value if Sold Within 90 Days:
*Purchase Price:

Contract Price if Acquisition, or Original Purchase Price if Refinance:
Date of Original Purchase: (if Refinance)

Estimated Value: (after implementation of business plan)
Amount of Existing Debt:
Terms of Existing Debt:
Use of Proceeds:
If "other" please describe:
Business Plan and Proposed Timetable for Repayment: (200 max characters)
Attach Business Plan and Proposed Timetable for Repayment: (click browse then select text file to attach)


*Name of Borrower:
Company Name:
Address:

City:
State:		Zip:
*Phone:
Cell:
*E-mail:


Name of Borrower's Attorney:
Phone:
Email:
Name of Referring Broker: (if any)
Company Name:
Address:

City:
State:		Zip:
Phone:
Cell:
E-mail:
Please enter the following letters in the field below: