Purchase Form – Strategic Realty Capital Corp

Basic Loan Quote Request for Investor Purchases

Date*
Borrower(s) Name(s)*
First Last
Personal Residence(s)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Own or Rent*
#Years*
Borrower(s) FICO Score(s)
Company Name
Company Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Year established
EIN
Subject Property Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Property Type*
Vacant/Occupied*
Purchase Price*
Down Payment*
Loan Amount Requested*
Buy Sell or Buy Hold*
Condition of property*
#of properties borrowers own*
Are there Gas sales, medical marijuana, bar, restaurant or dry cleaner on site*
SRCC FUNDS DECLARATION: STRATEGIC REALTY CAPITAL CORP ITS PERSONELL AND REPRESENTATIVES DO NOT ORIGINATE HOMEOWNER AND OR CONSUMER LOANS. WE ARE COMMERCIAL MORTGAGE LOAN ORIGINATORS, BUSINESS LOAN ORIGINATORS, COMMERCIAL REAL ESTATE AND INVESTOR LOAN ORIGINATORS AND PROJECT FINANCE SPECIALISTS SERVING ONLY THE SEASONED INVESTOR AND BUSINESS COMMUNITY!*
- I have read and I acknowledge the above referenced notice and I declare that I am an investor or business owner seeking financing as an investor and or commercial loan applicant

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