5-Minute Loan Application

This loan application is for:

Required fields are in *Bold

Borrower Information

Borrower name:

Borrower address:

Borrower company:

Borrower e-mail address:

Borrower phone number:

How much cash do you have to put toward the project?:

Do you have the property under contract?
YesNoMaking an offer

Property Information

PROPERTY ADDRESS:

Property description:

Purchase price of property:

If the property is a single family residence, is there a master bath and 1 full bath that is not a master bath?:

If there is not currently a master bath, do you plan on adding one?:

Construction type:
Site-built constructionManufactured/modular construction

Seller Information

Property listed on MLS, CoStar, or Loop Net?
Please check all applicable boxes:
MLSCoStarLoop Net

If on MLS give the MLS ref #:

Name of property seller (assigned contracts require approval):

How long has the seller owned the property?:

Info on any existing leases:

Rehab Checklist

Roof Needed:
Rip & Replace (single)Full Roof (Multi)1 Layer or Shingles Added

Roof Cost:

Exterior Paint/Siding Needed:
PaintSiding

Exterior Paint/Siding Cost:

Garage Repair Needed:
1 garage door w/ openerreframe structure1 car paint2 car paintnew roof

Garage Repair Cost:

Yard Landscaping or Cleaning Needed: yes

Yard Landscaping or Cleaning Cost:

Heating, HVAC:
HVAC & ductworkHVAC unit onlyBoilerHot Water Heater

Heating/HVAC Cost:

Plumbing:
Full Rough-InMinor Repair

Plumbing Cost:

Electrical:
Re-wire entire houseminor changesNew panel

Electrical Cost:

Foundation/Basement Repair:
Reframe support beamReplace/Sister joistSeal BasementJack-up houseConcrete

Foundation/Basement Repair Cost:

Interior Paint Needed: yes

Interior Paint Cost:

Flooring Repair:
CarpetVinylTileConcreteRe-finish hardwoodNew Hardwood

Total S.F.:

Flooring Repair Cost:

Kitchen Repair/Appliances:
CabinetsCountersAppliances

Kitchen Repair/Appliances Cost:

Bath Repair:
Full renovationChange fixtures only

Number of Baths:

Bath Repair Cost:

Framing/Insulation/Sheetrock Repair:
Move wallsInsulationSheetrock repair

Framing/Insulation/Sheetrock Repair Cost:

Dumpsters?: yes

Dumpster Cost:

Porch/Deck Repair:
Tear down & re-do new?Repair existing?

Porch/Deck Repair Cost:

Window Repair:
ReplaceStorm windows

Window Repair Cost:

Well/Septic Repair:
WellSeptic tank

Well/Septic Repair Cost:

Oil Tank Repair:
Above groundIn ground

Oil Tank Repair Cost:

Demo Cost:

Other Repair Costs:

Description:

Total Rehab Cost:

Additional rehab comments:

Exit strategy: (If selling, what is your sales price):

How many fixes & flips have you done in the last 12 months? List address, purchase amount, rehab cost and sale price:

Would you like to request a pre-approval letter?:

Send all photos, videos and attachments to: Mike@RichmondMortgageinc.com

Address:
P.O. Box 6784
Richmond, VA 23230

Mike Krumbein: 804.414.8690
Lisa Girardi: 804.414.0536
Fax: 804.288.1899

Richmond Mortgage, Inc BBB Business Review

The information contained on this website is not an offer to purchase or sell securities. The information, documents, and pages viewable on this website are for informational purposes and are not an offer to sell or a solicitation of an offer to buy any securities in any company, and may not be relied upon in connection with the purchase or sale of any security. The information contain on this website is intended for an indication of interest only; it not an offer to sell or buy securities and is non-binding on the parties pending execution of a definitive agreement. Interest in an issuer company, if offered, will only be available to parties who are "accredited investors" (as defined in Rule 506 promulgated pursuant to the Securities Act of 1933, as amended) and who are interested in investing in the specific issuer company on their own behalf. Any offering or solicitation will be made by an issuer company only to qualified prospective investors pursuant to a confidential private placement memorandum, and the subscription documents, all of which should be read in their entirety by the proposed investor. The information contained herein is confidential and is intended only for the recipient and his or her advisors to whom access to this website, and the information accessible thereon, is furnished.

Richmond Mortgage Inc.

Borrower Information

Property Information

Seller Information

Rehab Checklist

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