Purchase/Acquisition Loan Application

Borrower Information

Company Name *

Tax ID (EIN) * Enter a valid EIN (format: XX-XXXXXXX).

Business Address *

City *

State *

Zip * ZIP must be 5 digits (numbers only).

Business Phone * Enter a valid 10-digit phone number.

Mailing address is the same as business address

Mailing Address *

City *

State *

Zip * ZIP must be 5 digits (numbers only).

Form of Business *

Sole Proprietorship Limited Partnership LLC Corporation

State / Jurisdiction of Incorporation or Organization *

Has the company or any of its principals ever filed for bankruptcy? *

Yes No

Are there any current or prior security interests, liens, judgments, suits, criminal charges/convictions, legal proceedings, or regulatory actions against the company or its principals/shareholders/officers? *

Yes No

Are all owners (including shareholders) and officers/directors U.S. Citizens, or do they have the legal right to be in the United States? *

Yes No

Principals & Shareholders

Principal / Shareholder 1

Full Legal Name *

Title *

% Ownership *

Home Address *

City *

State *

Zip * ZIP must be 5 digits (numbers only).

Social Security Number * Social Security Number is required. Encrypted & never shared. Required by lenders for underwriting.

Email Address * Enter a valid email address (e.g. name@example.com).

Date of Birth *

Phone *

U.S. Citizen? *

Yes No

Property Information

Details of the subject property and the financing requested

Property Address *

City *

State *

Zip * ZIP must be 5 digits (numbers only).

Purchase Price *

Number of Units *

Property Type *

Residential Mixed Use

Rental Income (Annual) *

Property Taxes (Annual) *

Property Insurance (Annual) *

Is the property currently vacant? *

Yes No

Review Your Application

Please confirm everything is correct. Use “Edit” to make changes.

Certification

THE UNDERSIGNED CERTIFIES THAT THE INFORMATION CONTAINED ON THIS FORM HAS BEEN CAREFULLY REVIEWED AND CAN BE RELIED ON BY NET FINANCIAL GROUP AS TRUE AND CORRECT IN ALL RESPECTS.

Printed Name & Title *

Date *

I certify that all information provided is true, accurate, and complete to the best of my knowledge, and I authorize NET Financial Group to verify this information.

Your information is encrypted in transit and handled in accordance with our Privacy Policy. We never sell your data.