LOAN REQUEST FORM

- BROKER INFORMATION -

Broker Name:
Company Name:
Phone #:	Contact #:	Cell #:

Company Address:

City:

State:

Zip Code:

- PROPERTY INFORMATION -

Property Type:

HEATED Square Footage:

Estimated Value:

Based On?

Property Address:

City:

State:

Zip Code:

County:

Year Built:

Directions

- LOAN INFORMATION -

Loan Amount Needed:

Existing Lenders

1st Mortgage:

2nd Mortgage:

1st Mtg Loan Amount:

2nd Mtg Loan Amount:

Any Liens On Property? Yes No

If yes please specify.

Taxes/Insurance Current? Yes No

Cash Back to Borrower:

Referring Broker Points:

- BORROWER INFORMATION -

Borrower Name:

Phone # : * To only be used in the event we get lost

- BROKER PLEDGE-

In order to avoid costly and unnecessary appraisals, Commercial Lending, Inc. does its own drive by evaluation of each property we are considering for a mortgage. As we do our due dilligence, we ask you as a professional broker to do yours. 
		
I, the undersigned referring broker, have reviewed and discussed Commercial Lending's terms with the borrower. The borrower understands the interest rates, fees, closing costs, and all other things pretaining to this mortgage, and authorizes Commercial Lending, Inc. to do a no cost property evaluation in order to make the loan proposal.

I Agree