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SHF PRQ-102 (11242020)
Silver Hill Funding, LLC. NMLS ID 1564077
1
PERSONAL INFORMATION
Guarantor Name: Co- Guarantor Name:
Guarantor E-mail: Co- Guarantor E-mail:
Street Address: Street Address:
City, State, ZIP: City, State, ZIP:
Marital Status: Single Married Divorced Marital Status: Single Married Divorced
Borrower(s) is an: Individual(s) Entity
Borrowing Entity is an: Corporation (C Corp.) LLC LP/LLP S Corp. Other Tax ID Number:
Name of Borrowing Entity (Name(s) in which title will be held):
Is the structure of the entity changing as part of the loan transaction? Yes No If yes, please describe:
SUBJECT PROPERTY INFORMATION
Address: City: State: Zip:
Property Contact Name: Property Contact Phone Number:
Commercial Property Type: (Choose one)
Multifamily
Office
Warehouse
Retail
Self Storage
Automotive
Other
Mixed Use (>50% Residential)
Mixed Use (>50% Commercial)
Light Industrial
Mobile Home Park
Source of Value Estimate (Choose One):
Appraisal Estimate Sales Price (if purchase)
Owner Occupied: Yes No
Yr
s. of Investor Experience: ______
Number
of
Units: ____________
Bldg. Sq. Footage: ____________
Owner Occupancy %: __________
Number of Bldgs.: _____________
Number of Units Occupied: ______ Land
Sq. Footage: _____________
If a Purchase:
Purchase Contract Expires: ________________
Purchase Price: $
Subordinate or Seller Financing: $
Amount of Down P
If a Refinance:
Original Purchase Date: _______________
Original Purchase Price: $
Cost of Improvements Made*: $
Current Lender: _________________________
Interest Rate: ____________%
Monthly Payment: $ ______________
Pay-Off Mortgage 1: $
Pay-Off Mortgage 2: $
Pay-Off Outstanding Taxes/Other $
Cash Out: $
Subject Property Cash Flow:
Actual Rents in Place (annualized): $____________
Less Actual Expenses* (annualized): $____________
Equals Net Op. Income (annualized): $____________
Gross Annual Rent of Largest Tenant:$____________
Annual Property & Liability Insurance Premium:
$___________
Annual Property Taxes: $____________
(*Please do not include mortgage payment or depreciation
in your expense number.)
LOAN SUPPLEMENT FORM
This form to be completed when the Borrowers/Guarantors complete a loan application other than the Silver Hill application.
Prepayment Penalty:
5% for 5 Years
Declining for 5%, 4%, 3%, 2%, 1%
Estimated Value of Real Estate: $____________________________
5% for 3 Years
Loan Program: 5 Year 30 Year Fixed
Amortization:
¨ 15 Years ¨ 25 Years ¨ 30 Years
BUSINESS INFORMATION
Please complete if you are Self-Employed or the Borrower is a Business Entity
Business Name: __________________________________________
Address: __________________________________________
__________________________________________
City: _________________________ State: ________ Zip: ___________
Years as Business Owner: _______
Yes No
Will this business occupy the subject property?
Type of Bus
iness:
Corporation (C Corp.)
LLC LP/LLP
S Corp.
Any individual who owns 25% or more of the business is required to be a
guarantor of the loan. Please list ALL additional owners below. (Choose Yes or No)
Ownership
On Title
________%
Yes
No
________%
Yes
No
________%
Yes
No
________%
Yes
No
Name
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
________%
Yes
No
Other
SHF PRQ-102 (11242020)
Silver Hill Funding, LLC. NMLS ID 1564077
2
YTD
Business Income:
a. Annual Revenues: $ __________________
b. Annual Expenses: $ __________________
(*Please do not include mortgage payment or
depreciation in your expense number.)
Net Operating Income (A-B) $ __________________
Tax Year
20
__
__ Business Income: Most Recent Year
a. Annual Revenues: $ __________________
b. Annual Expenses: $ __________________
(*Please do not include mortgage payment or
depreciation in your expense number.)
Net Operating Income (A-B) $ __________________
PERSONAL DECLARATIONS
Have you been convicted of a felony within the past 10 years? Yes No
BUSINESS DECLARATIONS
Please select N/A if
you are closing as an individual and your business is not going to occupy the subject property.
True False N/A
True False N/A
True False N/A
True False N/A
Neither my business, nor any principal of my business is a party to any lawsuit.
My business ha
s never defaulted on any Federal debt including SBA loans.
No principal of my business has had a property foreclosed within the past 4 years.
The business has neither been denied a license, certification or ability to conduct business
nor been suspended or administratively limited to its ability to conduct business.
Please explain any declaration with a “False” response:
ADDITIONAL COMMENTS!
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
SCHEDULE OF REAL ESTATE OWNED
Property Address
(enter S if sold, PS if pending sale or R
if rental being held for income)
Year
Acquired
Property
Type
P
r
esent
M
arket Value
Amount of
Mortgages
& Liens
Gross Rental
Inc
ome
M
ortgage
P
ayments
Insurance, Payments,
Tax
es & Misc.
Net Rental
Income
Net ANNUAL Income:
Borrower
Co-Borrower
Total Income:
$
$
ANNUAL PERSONAL INCOME AND MONTHLY LIABILITIES
Total MONTHLY Liabilities List all personal and business liabilities
(E
xample: car payments, equipment leases, and housing expense)
$
0
0
0
0
0
0
0
0
0
0
0
0
0
SHF PRQ-102 (11242020)
Silver Hill Funding, LLC. NMLS ID 1564077
3
THE DEMOGRAPHIC INFORMATION WAS PROVIDED THROUGH:
Was the ethnicity of the Borrower collected on the basis of visual observation or surname? ¨ NO ¨ YES
Was the sex of the Borrower collected on the basis of visual observation or surname?
¨ NO ¨ YES
Was the race of the Borrower collected on the basis of visual observation or surname?
¨ NO ¨ YES
TO BE COMPLETED BY FINANCIAL INSTITUTION (FOR APPLICATION TAKEN IN PERSON):
¨ Face-to-Face Interview (includes Electronic Media w/Video Component)
¨ Telephone Interview
¨ Fax or Mail
¨ Email
GENERAL AUTHORIZATION!!
I HEREBY AUTHORIZE SILVER HILL FUNDING, LLC TO VERIFY ANY AND ALL INFORMATION PROVIDED OR REQUESTED WITH THIS APPLICATION,
INCLUDING BUT NOT LIMITED TO MY PAST AND PRESENT EMPLOYMENT, EARNING RECORDS, BANK ACCOUNTS, STOCK HOLDINGS AND ANY
OTHER ASSET BALANCES NEEDED TO PROCESS MY LOAN APPLICATION.
I UNDERSTAND THAT FALSE INFORMATION AND STATEMENTS MAY RESULT IN POSSIBLE PROSECUTION UNDER FEDERAL AND STATE LAWS.
FURTHER, I UNDERSTAND THAT MY INFORMATION WILL BE SCRUBBED AGAINST THE OFAC, SDN LISTS, EXCLUSIONARY AND OTHER LISTS TO
CONFIRM COMPLIANCE WITH THE US PATRIOT ACT, COUNTER-TERRORISM REGULATIONS AND BSA/AML REGULATIONS.
Applicant
I AUTHORIZE SILVER HILL FUNDING, LLC TO MAKE ALL INQUIRES NECESSARY THAT VERIFY THE ACCURACY OF THE STATEMENTS MADE
HEREIN AND TO DETERMINE MY CREDITWORTHINESS.
Applicant Authorization/Signature: ____________________________ Social Sec. #: _________________ Date: ________________
Co-Applicant
I AUTHORIZE SILVER HILL FUNDING, LLC TO MAKE ALL INQUIRES NECESSARY THAT VERIFY THE ACCURACY OF THE STATEMENTS MADE
HEREIN AND TO DETERMINE MY CREDITWORTHINESS.
Co-Applicant Authorization/Signature: ____________________________ Social Sec. #: _________________ Date: ________________!
INFORMATION FOR GOVERNMENT MONITORING PURPOSES
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. 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 or age or marital status information you provide on this application.
Instructions: You may select one or more “Hispanic or Latino” origins and one or more designations for “Race.” If you do not wish to provide some or all of this information, select the
applicable check box.
BORROWER
ETHNICITY RACE
¨ Hispanic or Latino ¨ American Indian or Alaska Native-
¨ Mexican ¨ Puerto Rican ¨ Cuban Enter name of entolled or principal tribe:
¨ Other Hispanic or Latino – Enter Origin: ______________________________
¨ Asian
_______________________________ ¨ Asian Indian ¨ Chinese ¨ Filipino
Examples: Argentinian, Colombian, ¨ Japanese ¨ Korean ¨ Vietnamese
Dominican, Nicaraguan, Salvadoran, Other Asian – Enter race:_______________
Spaniard, etc. Ex: Hmong, Laotian, Thai, Pakistani,
Cambodian, etc
¨ Black or African American
¨ Not Hispanic or Latino ¨ Native Hawaiian or Other Pacific Islander
¨ I do not wish to provide this ¨ Native Hawaiian ¨ Guamanian or
information Chamorro
¨ Samoan ¨ Other Pacific Islander –
SEX:
¨ Male Enter race:___________________________
¨ Female ¨ White
¨ I do not wish to provide this information ¨ I do not wish to provide this information
CO-BORROWER
ETHNICITY RACE
¨ Hispanic or Latino ¨ American Indian or Alaska Native-
¨ Mexican ¨ Puerto Rican ¨ Cuban Enter name of entolled or principal tribe:
¨ Other Hispanic or Latino – Enter Origin: ______________________________
¨ Asian
_______________________________ ¨ Asian Indian ¨ Chinese ¨ Filipino
Examples: Argentinian, Colombian, ¨ Japanese ¨ Korean ¨ Vietnamese
Dominican, Nicaraguan, Salvadoran, Other Asian – Enter race:_______________
Spaniard, etc. Ex: Hmong, Laotian, Thai, Pakistani, Cambodian, etc
¨ Black or African American
¨ Not Hispanic or Latino ¨ Native Hawaiian or Other Pacific Islander
¨ I do not wish to provide this information ¨ Native Hawaiian ¨ Guamanian or Chamorro
¨ Samoan ¨ Other Pacific Islander –
SEX: Enter race:______________________________
¨ Male
¨ Female ¨ White
¨ I do not wish to provide this information ¨ I do not wish to provide this information
SHF PRQ-102 (11242020)
Silver Hill Funding, LLC. NMLS ID 1564077
4
Closing Notes: (1) IRS Form 4506T to be signed prior to underwriting for all borrowers and businesses related to the transaction. (2) Signatures on all tax returns may be
completed at closing. This application is for a business purpose loan secured by commercial real estate. The undersigned specifically acknowledge and agree that (1) the loan
requested by this application will be secured by a first mortgage or deed of trust on the property described herein; (2) the property will not be used for any illegal or prohibited
purposes or use; (3) all statements made in this application are made for the purpose of obtaining the loan indicated herein; (4) occupation of the property will be as indicated
above; (5) verification or reverification of any information contained in the application may be made at any time by the Lender, its agents, successors and assigns, either directly
or through a credit reporting agency, from any source named in this application, and the original copy of this application will be retained by Lender, even if the loan is not
approved; (6) the Lender, its agents, successors and assigns will rely on the information contained in the application and I/we have continuing obligation to amend and/or
supplement the information provided in this application if any of the material facts which I/we have represented herein should change prior to closing; (7) In the event my/our
payments on the loan indicated in this application become delinquent, the Lender, its agents, successors and assigns, may, in addition to all their other rights and remedies,
report my/our name(s) and account information to a credit reporting agency; (8) ownership of the loan may be transferred to successors or assigns of the Lender without notice
to me and/or the administration of the loan account may be transferred to an agent, successor or assign of the Lender with prior notice to me; (9) the Lender, its agents,
successors and assigns make no representations of warranties, express or implied, to the Borrower(s) regarding the property, the condition of the property, or the value of the
property; and (10) I/we understand and hereby agree that all principals of the company have been identified to the Lender and will sign the note personally guaranteeing
repayment of the obligation. I/we the undersigned certify that the information provided in this loan application and in all loan documents submitted to Lender is true and correct
as of the date set forth opposite my/our signature(s) on this application and acknowledge my/our understanding that any intentional or negligent misrepresentation of the
information contained in this application may result in civil liability and/or criminal penalties including, but
not
limited to, fine or imprisonment or both under the provisions of Title
18, United States Code, Section 1001, et seq. and liability for monetary damages to the Lender, its agents, successors and assigns, insurers and any other person who may
suffer any loss due to reliance upon any misrepresentation which I/we have made on this application.
Creditor's name: Silver Hill Funding, LLC. Creditor's address: 4425 Ponce de Leon Boulevard, Ste. 250, Coral Gables, Florida 33146
If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact Silver Hill
Funding, LLC at 4425 Ponce de Leon Boulevard, Ste. 250, Coral Gables, Florida, 33146 or by phone at 888.988.8843 within 60 days from the date you are notified of our
decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement.
Notice: The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, sexual
orientation, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public
assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance
with this law concerning this creditor is Federal Trade Commission, Equal Credit Opportunity, Washington, D.C., 20580.
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Completed 7 March 2021

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