Submit a Loan

Requested Loan Amount

Amount: ($750,000 minimum loan)

Transaction Type
Purchase	Purchase Price:
Refinance	Are you in contract yet?: Yes No
	How quickly do you need to close?:
Current outstanding balance:	Date purchased?:
Maturity:	Price paid?:
Current lender:	Amount invested in property by borrower?:

Loan Type

Permanent Bridge Aquisition/Construction
Construction/Permanent Other

Property Information
If other please explain:
Property Address:
Street:	Street 2:
State:	Zip:
Owner-occupied percentage:
If owner-occupied, what is nature of the business?:
Lot size:	Number of blgs:
Building SF:	Number of units:
Number of stories: Number of tenants: Age of bldg:

Physical condition of building:
Current % Occupancy: 2006: 2005:
Current annualized actual gross income of property:
Current annualized actual expenses of property:

Borrower Information

Name of borrowing entity:

Borrower's Mailing Address:

Street:

Street 2:

State:

Zip:

Phone:

Cell Phone:

Email:

Fax:

List individual borrowers OR principals of borrowing entity:

Name 1:

% Ownership:

Net Worth:

Liquid Assets:
(excluding IRAs)

Name 2:

% Ownership:

Net Worth:

Liquid Assets:
(excluding IRAs)

Name 3:

% Ownership:

Net Worth:

Liquid Assets:
(excluding IRAs)

Name of person completing this form:

Phone:

Email:

�2006 Terrace Capital, Inc

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