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10 Rockefeller Plaza
Suite 1111
35 West 48th Street
New York, NY 10020
Phone: 212.218.7593
Fax: 212.898.1326
Email:
TENROCK COMMERCIAL MORTGAGE APPLICATION
To be considered for a loan, please complete the following form and submit it to us. A representative will contact you within 24 hours.
Note:
This form submits to a Secure Server
Applicant Information
First Name
Last Name
Your role (in this transaction) :
Select one
Borrower for this loan
a Mortgage Broker
the Real Estate Broker
an Employee of the broker
the Financial Advisor for the this loan
the Developer for this project
Someone else who is not listed here
Company Name
Mailing Address Line 1
Mailing Address Line 2
City
State
Zipcode
Daytime Phone number
Fax Number
Evening Phone number
Email Address
Borrower Information
Name of Borrower / (or Entity if well-formed)
Type of Entity
Individuals
Corporation
General Partnership
Limited Partnership
Limited Liabality Company
Other
Mailing Address Line 1
Mailing Address Line 2
City
State
Zipcode
Phone #
Annual NOI
Loan Request Information
Amount of Loan Requested
Purchase Price / Value of the
Collateral
Amount of Down Payment
Term of Loan Requested
1 Year
2 Years
I need close in
< 1 Week
1-2 Weeks
2-4 Weeks
> 4 Weeks
Describe the use of proceeds
Collateral Information
Property Address
Property City
Property Country
Property Type
Choose One
Agricultural or Ranch Property
Apartment Building
Assisted Living Facility
Auto Dealership/Used car Lot
Auto Repair
Bed & Breakfast lnn
Casino
Church
Commercial or Retail Building
Congregate Care Facility
Cooperative
Duplex, Triplex, or Fourplex
Gas Station
Gold Course
Hotel & Motel
Industrial Building
Industrial Condo
Land
Mini-Warehouse
Mixed Use Property
Mobile Home Park
Multi-Family(5+ units)
Office Building
Office Condo
Parking Garage
Residential Care Home
Residential Condo
Residential Condo Subdivision
Residential Subdivision
Restaurant
Shopping Center
Single Family Residence
Skilled Nursing Facility
Special use Property
Description of the Property
Purpose of the Loan
Cash-out Refinance
Purchase
Maturing loan(no cash out)
Maturing loan(cash out)
Rate adn term refinance(no cash out)
New Construction
Renovate or Expand the Property
Some Renovation and Some Cash Out
Other
Guarantor Information
Name of Guarantor
Married?
No
Yes (Spouse Name:
)
Mailing Address Line 1
Mailing Address Line 2
City
State
Zipcode
Phone #
Cell Phone #
E-Mail
Annual Income
Net Worth
less than $250,000
$250,000 to $500,000
$500,000 to $ 1,000,000
$1,000,000 to $2,000,000
$2,000,000 to $5,000,000
$5,000,000 to 10,000,000
more than $10,000,000
Credit
Perfect
Very Good
Good
Decent
Reestablished after bankruptcy
Slow pay
Poor
Bankruptcy discharged within 3 years
In Chapter 11 Bankruptcy
In chapter 7 Bankruptcy
Credit Score
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