First name *

Last name *

Property Address, City, St, Zip (must include full address - CA properties only) *

New Loan Type You Are Requesting *

Borrower's Business Name (if loan will be in the business name)

Business Entity Type - Sole Prop, LLC, Corp

Contact Email *

Contact Phone *

Property Type *

Occupancy Type (after closing this loan) *

Current Property Value - estimate

After Repaired Value (estimated) - if this is for a fix & flip loan

Rehab / Repair Costs - estimate - if the loan is used for rehab or repairs

Purchase Price (if the loan is used to purchase a property)

Principal loan balance on 1st loan (do not include arrears) *

Current 1st loan monthly payment

Property taxes & home ins included in pymt? *

Principal loan balance on 2nd loan (do not include arrears)

Any loans in default (you owe arrears / back payments)? *

Total you owe in arrears / back payments on the 1ST loan

Total you owe in arrears / back payments on the 2ND loan

Liens You Owe if any (don't include mortgage loans or prop tax)

What is your average or mid FICO score if known

Monthly income (state the amount - no docs are required) *

Desired loan amount (including any cash amount paid to you at closing) *

How much cash do you want paid to you at closing (included in the loan)?

Loan Purpose / How will you use the funds *

Additional Explanation (if any)

By checking this box, I agree to receive recurring informational text messages from RE Capital Loans regarding property evaluations and housing options at the phone number provided. Message frequency: 1 to 5 times. Message and data rates may apply. Reply STOP to opt out at any time. For assistance or support terms, reply HELP or contact our customer support team directly at (951) 318-6420 or via email at cheryl@recapitalloans.com. Click the link to view our Privacy Policy & SMS Terms & Conditions.

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