Commercial Loan Application - Imagine Funding Solutions

Financing Request

Requested Loan Amount*

Purpose of Loan*

Purchase
Refinance

Property Information

Year Acquired

Cost

Purchase Price

Subject Property Address*

Street Address Address Line 2 City State ZIP Code

Number of Units

Will title be held in an entity?

Yes
No

If yes, entity name

Property Type*

If 'Other', list Property Type

Improvements

Made
To Be Made

Cost of Improvements

Does Applicant intend to live in the subject property for more than 14 days per year?

Yes
No

Does Co-Applicant intend to live in the subject property for more than 14 days per year?

Yes
No

Applicant Information

Applicant's Name*

SSN*

Phone*

DOB*

Martial Status*

Married
Unmarried

Residency Status*

US Citizen
Permanent Resident Alien
Non-Permanent Resident Alien

Primary Address*

Street Address Address Line 2 City State ZIP Code

Own/Rent*

Own
Rent

Number of Years*

Co-Applicant Information

Co-Applicant's Name*

Co-Applicant SSN*

Co-Applicant Phone*

Co-Applicant DOB*

Co-Applicant Martial Status*

Married
Unmarried

Co-Applicant Residency Status*

US Citizen
Permanent Resident Alien
Non-Permanent Resident Alien

Co-Applicant Primary Address*

Street Address Address Line 2 City State ZIP Code

Co-Applicant Own/Rent*

Own
Rent

Number of Years*

Employer Information

Employer Name*

Employers Address*

Street Address Address Line 2 City State ZIP Code

Business Phone*

Position/Title/Type of Work*

Years on Job*

Monthly Income*

Self-Employed

Yes

Co-Applicant Employer Information

Co-Applicant Employer Name

Co-Applicant Employers Address

Street Address Address Line 2 City State ZIP Code

Co-Applicant Business Phone

Co-Applicant Position/Title/Type of Work

Co-Applicant Years on Job

Co-Applicant Monthly Income*

Co-Applicant Self-Employed

Yes

Real Estate Owned

Please list a) Property Owned b) Type of Property and c) the amount of the existing mortgage*

Agreement and Acknowledgment

Each of the undersigned specifically represents to Lender and to Lender's actual or potential agents, brokers, processors, attorneys, insurers, servicers, successors and assigns and agrees and acknowledges that: (1) the information provided in this application is true and correct as of the date set forth opposite my signature and that any intentional or negligent misrepresentation of this information contained in this application may result in civil liability, including monetary damages to any person who may suffer any loss due to reliance upon any misrepresentation that I have made on this application, and/or in criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Sec. 1001, et seq.; (2) the loan requested pursuant to this application (the "Loan") will be secured by a mortgage or deed of trust on the property described in this application; (3) the property will not be used for any illegal or prohibited purpose or use; (4) all statements made in this application are made for the purpose of obtaining a business purpose mortgage loan; (5) the property will be occupied as indicated in this application; (6) the Lender, its servicers, successors or assigns may retain the original and/or an electronic record of this application, whether or not the Loan is approved; (7) the Lender and its agents, brokers, insurers, servicers, successors, and assigns may continuously rely on the information contained in the application, and I am obligated to amend and/or supplement the information provided in this application if any of the material facts that I have represented should change prior to closing of the Loan; (8) in the event that my payments on the Loan become delinquent, the Lender, its servicers, successors or assigns may, in addition to any other rights and remedies that it may have relating to such delinquency, report my name and account information to one or more consumer reporting agencies; (9) ownership of the Loan and/or administration of the Loan account may be transferred with such notice as may be required by law; (10) neither Lender nor its agents, brokers, insurers, servicers, successors or assigns has made any representation or warranty, express or implied, to me regarding the property or the condition or value of the property; and (11) my transmission of this application as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or my facsimile transmission of this application containing a facsimile of my signature, shall be as effective, enforceable and valid as if a paper version of this application were delivered containing my original written signature. Acknowledgment: Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may verify any information contained in this application or obtain any information or data relating to the Loan, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency.