Borrower and Primary Guarantor Application
Borrowing Entity Information
Borrowing Entity Name ___________________________
Company Type Partnership LLC Corporation Other
Business EIN _________ Registered to Do Business in What States _________
Borrowing Entity Ownership
List the names and ownership percentage of the borrowing entity.
First Name Last Name Ownership % Title
Current Liquid Assets
(cash, stocks, bonds, 401k, etc.)
Total:
Guarantor 1
First Name
Last Name
Primary Address
City, State, Zip
Social Security Number
Date of Birth
Phone Number
Email
Country of Citizenship
Estimated Credit Score
Convicted of or currently accused of a felony, or any crime involving fraud, financial malfeasance, or misrepresentation?
Party to any outstanding lawsuits?
Have any outstanding judgments?
Declared bankruptcy in the past 4 years, or actively involved in a bankruptcy?
Had a foreclosure or given title or deed in lieu of foreclosure, or a short sale, in the past 3 years?
Presently delinquent on any mortgage loan of other financial obligation?
If you answered yes to any of the questions above, please provide a separate page with a detailed explanation.
Attach a separate sheet for additional members and an org chart if there is more than one entity in the ownership chain.
Answer the following in aggregate for all guarantors
Which areas of real estate do you operate in? (Check all that apply.)
Fix & Flip New Construction Rentals Commercial Multifamily
Mixed Use
# of rental units currently owned, that you bought in the last 3 years:
Total # of rental units currently owned, regardless of purchase date:
Current estimated value of your Real Estate Portfolio:
# o
f FixNFlips sold in the past 3 years:
# of New Construction builds in the past 3 years:
Do you have a GC on staff, or do you hire a third-party GC to complete rehab/construction?
On Staff
Third Party (if 3rd party, ask your sales representative for a contractor application
Primary Guarantor
Information (Please complete separate applications for additional Guarantors.)
Intellect Development, LLC
83-0705778
MD
Eugene
Ringgold
100
Owner
180,000
Eugene
Ringgold
2119 Taylor Ct
Abingdon, MD 21009
217984463
03/25/1982
240.485.8044
eugeneringgold@outlook.com
United States
660
No
No
No
No
No
No
Borrower and Primary Guarantor Application
Personal Financial Statement
Complete the below OR provide your own detailed Personal Financial Statement
Guarantor 1
Cash
Retirement Accounts
Stocks, Bonds
Other Liquid
Total Liquid
Real Estate Assets
Autos
Other Personal Property
Total Non-Liquid Assets
Real Estate Debt
Revolving Debt
Installment Debt
Notes Payable
Other Debt
Total Debt
Net Worth
Please be prepared to supply 60 days of current statements for all liquidity mentioned above.
Note that Lender will use a discount against retirement accounts, stocks, and other liquid in calculating total
liquidity for our loan level requirements.
Please provide a detailed track record and REO schedule. (Ask your sales representative if you need a template.)
My transmission of this application as an "electronic record" containing my "electroni
c 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.
By submitting the application, you authorize lender to obtain a consumer credit report through a credit reporting
company chosen by lender.
NMLS
#
Date
__________ _______
Date
_______
_________________
Signature
__________________
Signature
____________________
Guarantor 1
_____________________
Lender Representative
Multifamily Mixed Use
st 3 years: ______
in the past 3 years: _______
ehab/construction?
representative for a contractor application)
0
0
0
0
0
0
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signature
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signature
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