| |
| Borrower | Who wants to borrow the money? | |
| Amount | How much do you need to borrow? | |
| Broker | Name and contact information of any broker involved. | |
| Collateral | What are you offering as collateral for the loan? | |
| Location | Where is this collateral? | |
| Description | Describe the collateral, its condition, and how it is being used at present. | |
| Borrower | Purchase price, Market value and Quick-sale value of the collateral. | |
| Existing Debt | Details of any existing mortgages on the collateral, delinquent taxes, etc. | |
| Environmental | Do you have environmental survey of the collateral? | |
| Use of Proceeds | How do you plan to use the loan proceeds? | |
| Borrower | How do you plan to pay back the principal, and when? |
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