Real Estate Loan Application – Business Capital Firm

Borrower Information

Borrower Name *

Co-Borrower Name

Individual Name (if Borrower is a Company)

Date of Birth

Social Security #

Show SSN

Current Address

City

State

ZIP Code

Primary Phone #

Alternate Phone #

Email Address *

Collateral Information

Type of Collateral

Purpose of Loan

Acquisition Refinance

Subject Address

City

State

ZIP Code

Purchase Price

Date Acquired

Cost of Improvements

Description of Improvements

Loan Amount Requested

Current Loan Balances — 1st Lien

1st Lien — In Default?

Yes No

Current Loan Balances — 2nd Lien

2nd Lien — In Default?

Yes No

Employment Information

Primary Borrower

Current Employer

Year Started

Position / Title

Employer Address

City

State

ZIP Code

Monthly Salary

Secondary Borrower

Current Employer

Year Started

Position / Title

Employer Address

City

State

ZIP Code

Monthly Salary

Financial Information

Primary Borrower — Checking Accounts

Bank (Account 1)

Balance

Statement Date

Bank (Account 2)

Balance

Statement Date

Other Monthly Income

Source of Other Income

Real Estate Schedule

Do you own your home?

Yes No

Property Value

Mortgage Balance

Do you own any other real estate?

Yes No

Please list each property below. Click "Add Row" to add more.

Type of Property	Current Value	Mortgage Balance	Monthly Income	Monthly Payments	Monthly T&I	Net Income

Supporting Documents

Optional

Upload bank statements, financial statements, property documents, or other supporting materials.

Click to upload files

PDF, DOC, XLS, JPG, PNG — max 10MB each

Acknowledgement and Signatures

By signing below, I/We represent that the information provided in this application is complete, true and accurate to the best of my/our knowledge. I/We authorize Business Capital Firm, its agents, partners, and lenders to obtain credit reports and verify any information provided in connection with this application.

Applicant Signature

Signature (Type Full Name)

Printed Name

Date

Co-Applicant Signature

Signature (Type Full Name)

Printed Name

Date

I have read and agree to the acknowledgement above. I certify that all information provided in this application is true and accurate to the best of my knowledge. *

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Application Submitted!

Thank you for applying with Business Capital Firm.
Our team will review your application and reach out within 24–48 hours.

Questions? Call 212-390-1198

Application for Real Estate Loan

Borrower Information

Collateral Information

Employment Information

Financial Information

Supporting Documents

Acknowledgement and Signatures

Application Submitted!