:: Corevest ::

Personal Information

First Name

Middle Name

Last Name

Home Address

Mobile Phone

Date of Birth

Marital Status

Married Separated Unmarried (Includes single, divorced, widowed)

Business Contact Information

Company Name

Company Address

Work Phone

Business Entity Information

City/State of Entity Formation

Date of Formation

Type of Company

Additional Principal Information

Name

Address

Work Phone

Mobile Phone

Email Address

Name	Address	Work Phone	Mobile Phone	Email Address	Action
Charles Schwabb	1122 W 452 S Provo, UT, 84022	555-555-5555	555-555-5555	cschwabb@yahoo.com
Charles Schwabb	1122 W 452 S Provo, UT, 84022	555-555-5555	555-555-5555	cschwabb@yahoo.com

Attorney Contact

Name

Law Firm Name

Address

Work Phone

Mobile Phone

Email Address

Insurance Agent Contact

Agent Name

Company Name

Address

Work Phone

Mobile Phone

Email Address

Have you ever...

(2/12) completed

been convicted of a felony?

You’ll be required to provide a separate signed written explanation. If you have the documents prepared, you can upload them now. Otherwise, you’ll be able to provide them at a later step.

Would you like to provide the signed documents now?

Yes No

been identified, or are presently identified, on the list of specially designated nationals and blocked persons subject to financial sanctions that are maintained by the U.S. Treasury Department Office of Foreign Assets Control?

Yes No

Questionnaire

(4/12) completed

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?

Yes No

Do you currently have any pending litigation against you?

Yes No

Questionnaire

(6/12) completed

In the last five years, have any of your properties been cited for any violations or investigate by any regulatory agency?

Yes No

Do you currently have any outstanding judgements against you?

Yes No

Questionnaire

(8/12) completed

In the last five years, have any of your properties been cited for any violations or investigate by any regulatory agency?

Yes No

Do you currently have any outstanding judgements against you?

Yes No

Questionnaire

(10/12) completed

Are you currently a defendant in a lawsuit?

Yes No

Are there currently any pending/existing litigation involving properties in your portfolio?

Yes No

Questionnaire

(12/12) completed

Are you a U.S. citizen?

Yes No

Are you a permanent resident alien?

Yes No

Background & Experience

Summarize your qualifications, real estate track record and recent transactions in a few statements below.

Financial & Credit Information

Estimated value of total assets

Estimated value of total liabilities:

Estimated net worth:

Estimated total value of liquid assets:

Date of Estimation

Loan Request

Desired Loan Amount:

Loan Purpose (Select all that apply):

How many properties are subject to a lender payoff (debt refinancing)?

Estimated payoff amount by lender

As of:

Estimated prepayment penalties (If applicable)

Acknowledgement of final CoreVest loan proceeds:

I understand and acknowledge that final loan proceeds are contingent on underwriting findings and applicable interest rates at the time of closing.

Yes

Please state in your own words that you do not intend to occupy any properties financed using proceeds from this loan as your primary residence, and that you understand this is a commercial loan for business purposes only.

Rental Property Track Record

How many rental properties do you own?

How long investing in rental properties?

Estimated value of your entire rental portfolio?

What is the average purchase price of properties in your rental portfolio?

What is the average hold time of properties in your rental portfolio?

What is the average cost you spent to renovate each of your rental properties?

What type of rental properties do you own?

Source your portfolio of rental properties?

How long do you intend to hold the portfolio?

Other* – Please describe:

How do you handle property management?

List any 3rd party property management companies you use:

What accounting program and/or property management software do you use to keep track of operating income and expenses?

How many years of experience do you have managing your portfolio?

If self-managed, how many properties do you currently manage?

Have you ever lost money on a rental property or fix and flip investment?

Yes No

If so, explain the reason for the loss(es):

Agreement

I declare under penalty of perjury that the foregoing is true and correct.
I understand and acknowledge that final loan proceeds are subject to change based on external market conditions and the results of CoreVest due diligence.

Signatures

Signature

Name

Title

Date

Signature - Authorization to Conduct Background and Credit Check

I authorize CoreVest to conduct a background and credit check on me. I understand that it is a Federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements when applying for this mortgage, as applicable under the provisions of Title 18, United States Code, §1014. I also understand that the CoreVest intends to use the data obtained through the investigation for due diligence purposes only, and shall not disclose such information to any other party.

Signature

Name

Date

This application does not purport to be and does not constitute a binding agreement among the parties, and the parties hereto shall have no obligations whatsoever, express or implied, written or oral, with regard to the proposed loan(s). This application does not in any way whatsoever constitute a commitment from CoreVest or an agreement to issue a commitment or term sheet, and CoreVest has made no commitments or agreements whatsoever, express or implied, written or oral, to the applicant or sponsor or with respect to any of the matters related to the loan. The items set forth in this application are not all-inclusive and should not be construed to reflect all off the provisions to be included in the loan which may be varied as CoreVest may determine in its sole and absolute discretion. No oral agreements between or among the parties shall be binding under any circumstances at any time. In addition, all information provided by the applicable is subject to verification and underwriting

Demographic Information of Borrower

The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for “Ethnicity” and one or more designations for “Race.” The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.

Ethnicity

Race (check one or more)

Sex