Loan Application

Please complete and submit the loan application below.

You will be contacted within 1-2 business days of your submission by a Brick & Mortar Funding Representative.

All application details are transmitted via secure SHA-256 SSL encryption technology (the same standard as a traditional bank) and used by Brick & Mortar Funding only.

Applicant Name(s)*

Company or DBA

Home/Business Address*

City*

State*

Zip*

Date of Birth

Name of Spouse

Office/Work Phone

Cell Phone

Members/Officers of Borrowing Entity

Requested Loan Amoount

Address of Subject Property

City

State

Zip

Loan Type (Select all that apply)

Acquisition

Rehab

Bridge

Please describe the type of property, its current condition and what you plan to do with the loan proceeds

Estimated Market Value of Property in Current Condition

Date of Last Appraisal/Market Valuation

Established Value

Loan to Current Value (Loan Amount/Current Value)

Estimated Value after improvement or construction

If the property is currently rented, please include an income and expense breakdown for the property in its current condition and an estimated income and expense breakdown for after the repair or improvement

Anticipated Source of Repayment

Below please provide the name and tax ID or social security number of the borrowers. If the borrower is an entity, please list the principals of the entity who will be personally guaranteeing the loan. Please provide a signed credit report and Background Check Authorization Form for each proposed guarantor. Name

Tax ID

SSN

Borrower's Attorney Contact Info

Borrower's Accountant Contact Info

Borrower's Bank Contact Info

Name of Broker

Signature of Applicant

Signature of Co-Applicant

Credit Report and Background Check

Authorization Form

I hereby authorize Brick and Mortar Funding; LLC and its agents (collectively, "Brick and Mortar Funding") to obtain and review my credit report and to investigate my financial condition and credit worthiness. My credit report may be obtained from any credit reporting agency chosen by Brick and Mortar Funding to investigate my background and contact any references I provide.

A facsimile or electronic copy of this authorization shall be equivalent of the original and I authorize any third-party to rely on this authorization or a facsimile or electronic copy hereof.

I understand that I may revoke my consent to these disclosures by notifying Brick and Mortar Funding in writing.

Name of Person Giving Authorization

Date

Phone

SSN

Address

Signature

Date

Credit Report and Background Check

Authorization Form

Our Headquarters14 McKenna Commons Court Greenville, SC 29615

Speak to UsMain (864) 640-4632
Fax (864) 729-4847

Send Us A Messageapply@brickandmortarfunding.com

Loan Application

Credit Report and Background Check

Authorization Form

Our Headquarters14 McKenna Commons Court Greenville, SC 29615

Speak to UsMain (864) 640-4632Fax (864) 729-4847

Send Us A Messageapply@brickandmortarfunding.com

Speak to UsMain (864) 640-4632
Fax (864) 729-4847