INVESTMENT STRATEGY

BORROWER
Subject Property Address & Loan Purpose
Company Name
Entity Type
State of Formation

GUARANTOR

Primary Guarantor’s Personal Information

First Name
Last Name
Marital Status
Date of Birth
SSN
Phone Number
Email
Primary Residence Type
Primary Residence Address
City
State
Zip/Postal Code
Previous Investment Experience – # of Properties
Estimate Annual Income
Cash in Bank
Estimated Current Liquid Assets
Value Real Estate Owned

DECLARATIONS QUESTIONNAIRE

Q1. HAVE YOU EVER BEEN CONVICTED OF A FELONY?
Q2. HAVE YOU BEEN DECLARED BANKRUPT WITHIN THE LAST SEVEN (7) YEARS?
Q3. Have you or any other entity of which you were/are a principal been in foreclosure or had any property that was foreclosed upon?
Q4. Are you presently delinquent on any federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?
Q5. Are there any outstanding judgements against you?
Q6. Are you party to lawsuit?
Q7. Are you in a civil union or a domestic partnership, or do you have a non-borrowing spouse, or are you a party to a designated beneficiary agreement?
Q8. Are you a US Citizen?
Q9. Are you a permanent resident alien?(IF YES, MUST PROVIDE COPY OF PERMANENT RESIDENT CARD “GREEN CARD”)
Q10. Do you intend to occupy the property as your primary residence?

Declaration of Non-Owner Occupancy & Business user of proceeds
I (“Borrower”) certify and represent to lender (“Originator”) as follows: I hereby declare that I have no intention of making the property (subject property listed in my loan application) my principal residence. Additionally, I declare that I have no intention of utilizing the property as a second home and/or any surviving spouse or family member shall live in the property. I understand that this loan is a business purpose loan and not a household purpose loan. The loan proceeds are intended to be used and shall be used for business purpose only, not for personal use. I represent that I understand the difference between consumer loan for personal purposes and a commercial loan for business purposes. I represent that this loan is not a consumer loan and therefore is not subject to any laws relating to consumer loans under any state or federal laws such as Truth in Lending Act (15 U.S.C. § 1601 et seq.), Real Estate Settlement Procedures Act (12 U.S.C. § 2601 et seq.), Gramm‐Leach Bliley Act (15 U.S.C. §§ 6802–6809), Secure and Fair Enforcement Mortgage Licensing Act (12 U.S.C. § 5101 et seq.), and Homeowners Protection Act (12 U.S.C. § 4901 et seq.). I realize the lender, broker, assignees and successors rely upon this information. I confirm I have read and understand this document. I declare under penalty of perjury the foregoing is true and correct.
Authorization to conduct credit & background check
By signing this form, I/we hereby authorize lender to conduct a background and/or credit check. Additionally, the undersigned and each party to this loan, authorizes lender to disclose to any third party, employee, agent or assignee thereof information regarding background and credit experience. I understand that it is a federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements when applying for this mortgage, as applicable under the provisions of title 18, United States code, 1014. I also understand that the lender intends to use the data obtained through the investigation for due diligence purposes only and shall not disclose such information to any other party except as otherwise authorized above.