Self-Employment Business Narrative,
Questionnaire, and Certification
LoanStream Mortgage
19000 MacArthur Blvd., Suite 200
Irvine, CA 92612
800.760.1833
1. Describe the business. Please provide as much detail as possible.
2. Does the business have a physical location? ☐ Yes ☐ No
a. Does the business have more than one physical site? ☐ Yes ☐ No
b. What is the address of your physical location?
3. How many people work for you:
a. Full Time?
b. Contractors?
4. Does the business manufacture a product that has a cost of goods? ☐ Yes ☐ No
5. Does the business buy and then re-sell a product? ☐ Yes ☐ No
6. If the business address is different than home address, please explain the use of the business address.
7. What percentage of the business do you own?
8. Is there anything else about
the business that is important to know to analyze the bank statements?
I/We hereby certify that this information is true, accurate, and complete. I/We understand that any
misrepresentations made in this questionnaire may result in declination of our loan application.
Borrower: - Signature Co-Borrower: - Signature
Name: - Print Name: - Print
Date: Date:
LSM-F-NANQ_SEQUEST | REV. 07/12/2021