21 Finance of America Commercial LLC is licensed or exempt from licensing in all other states | | NMLS ID #1133465 | 6230 Fairview Rd, Suite 300,
Charlotte, NC 28210 | (800) 227
-8107 | AZ Mortgage Banker License BK #0926974 | Loans made or arranged pursuant to a California Finance Lenders Law
| Finance of America Commercial LLC only makes mortgage loans for business purposes. REV. 05.13.2021
3
Single Rental Loan Program
Property Application
Include your preferred Vendor information below. If left blank/no choice, FACo will proceed to order services
through our preferred Title, Escrow, and Insurance Vendors to avoid any processing delays.
Title, Escrow, & Insurance Information
Title Company : ___________________________________ Escrow Company: ___________________________________
Title Contact: ____________________________________ Escrow Contact: ____________________________________
Title Phone: ______________________________________ Escrow Phone: ______________________________________
Title Email: _______________________________________ Escrow Email: ______________________________________
Insurance Carrier: _________________________________ Closing Agent Name: _________________________________
Insurance Contact: ________________________________ Closing Agent Contact Info:
Insurance Phone: _________________________________ ___________________________________________________
Insurance Email: __________________________________ ___________________________________________________
If Applicable; Condo Association Name: ________________________________________________________________________
Condo Association Contact Info: __________________________________________________________________
Property Access Information for Appraisal
Contact Company: _______________________________________________ Contact Phone: ____________________________
Contact Name: __________________________________________________ Contact Email: _____________________________
By signature below, I specifically represent to FACo and to FACo’s insurers, servicers, successors and assigns and agree and
acknowledge that: (1) I have full authority to submit this application on behalf of borrower and to apply my signature below (2)
the information provided in this application, including the Track Record and REO Schedule or similar schedule, is true and correct
as of the date below and any intentional or negligent misrepresentation of information contained in this application may result in
civil liability, including monetary damages, to any person who may suffer any loss due to reliance upon any misrepresentation
that I have made on this application, and/or in criminal penalties including, but not limited to, fine or imprisonment or both under
the provisions of Title 18, United States Code, Sec. 1001, et seq.; (3) all statements made in this application are made for the
purpose of obtaining financing; (4) any property financed by FACo will not be occupied by the borrower, its members, owners,
employees, guarantors or other related parties; (5) the Lender, its servicers, successors or assigns may retain the original and/or
an electronic record of this application, whether or not the Loan is approved; (6) the Lender and its agents, brokers, insurers,
servicers, successors, and assigns may continuously rely on the information contained in the application, and I am obligated to
amend and/or supplement the information provided in this application if any of the material facts that I have represented herein
should change prior to closing of any loan.
I acknowledge that any owner of any loan extended pursuant to this Application, its servicers, successors and assigns, may verify
or reverify any information contained in this application or obtain any information or data relating to the Loan, for any legitimate
business purpose through any source, including a source named in this application or a consumer reporting agency:
Printed Name:
Signature: Date
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signature
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