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BLUEPRINT

BUSINESS ADVISORS

619-453-5737|support@blueprintbizadvisors.com
41593 Winchester Rd #200 Temecula, CA 92590

Loan Application

01 / 04

1.Loan Information

Full Name
Email *
Phone
Joint Credit Application (are there co-borrowers?)
Loan Amount Requested
Note Rate Requested
%
Amortization Type
Loan Term Requested

2.Borrower/Personal Guaranty Information

Borrower or Guarantor's Name
SSN
Phone
Marital Status
Email
Date of Birth MM / DD / YYYY
Yrs. School
Present Address — Street
Unit
Mailing Address (if different from present) — Street
Unit
City
State
Zip
City
State
Zip
Employer Name
Phone
Type of Business
Position/Title
Yrs at Employer
Yrs in Profession
Personal Monthly Income
$
Cash in Bank
$
Flips Completed in Last 24mo.
Rentals Owned in Last 24mo.
ONLY REQUIRED IF INCLUDING CO-BORROWER/CO-GUARANTOR

3.Co-Borrower/Co-Guarantor Information

Borrower or Guarantor's Name
SSN
Phone
Marital Status
Email
Date of Birth MM / DD / YYYY
Yrs. School
Present Address — Street
Unit
Mailing Address (if different from present) — Street
Unit
City
State
Zip
City
State
Zip
Employer Name
Phone
Type of Business
Position/Title
Yrs at Employer
Yrs in Profession
Personal Monthly Income
$
Cash in Bank
$
Flips Completed in Last 24mo.
Rentals Owned in Last 24mo.
ONLY REQUIRED IF BORROWER IS AN ENTITY

4.Entity Information

Entity Name
EIN
Number of Entity Owners
Entity Address — Street
Unit
City
State
Zip
Entity Type:
Entity Owner
Title
Ownership
%
SSN
Entity Owner
Title
Ownership
%
SSN
Entity Owner
Title
Ownership
%
SSN
Entity Owner
Title
Ownership
%
SSN

5.Property Information

Subject Property Address — Street
Unit
City
State
Zip
Property Type
Estate Will Be Held In
Property Condition
If Renovating
Purchase Price
$
Estimated As-is
$
After Repair Value
$
Renovation Budget
$
Completed Improvements
$
If Refinance, Year Aquired
Original Purchase Price
$
Purpose of Refinance
Existing Liens/Payoff Amount
$
Explain Source of Down Payment
Explain Investment Strategy
Exit Strategy
Contact Name for Property Access
Phone
Email

6.Additional Information for Rentals

Is the property currently leased?
Current or Potential Monthly Rental Income
$
Unit #
Original Lease Start Date MM / DD / YYYY
Current Lease End Date MM / DD / YYYY
Unit #
Original Lease Start Date MM / DD / YYYY
Current Lease End Date MM / DD / YYYY
Unit #
Original Lease Start Date MM / DD / YYYY
Current Lease End Date MM / DD / YYYY
Unit #
Original Lease Start Date MM / DD / YYYY
Current Lease End Date MM / DD / YYYY
7. Declarations
If you answer "Yes" to any questions a through i, please use continuation sheet for explanation.
Borrower
YesNo
Co-Borrower
YesNo
a.Are there any outstanding judgments against you?
b.Have you been declared bankrupt within the past 7 years?
c.Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
d.Are you a party to a lawsuit?
e.Have you directly or indirectly been obligated on any loan of which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee. If "Yes," provide details, including date, name, and address of Lender, FHA or VA case number, if any, and reasons for the action.)
f.Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? If "Yes," give details as described in the preceding question.
g.Are you obligated to pay alimony, child support, or separate maintenance?
h.Is any part of the down payment borrowed?
i.Are you a co-maker or endorser on a note?
j.Are you a U.S. citizen?
k.Are you a permanent resident alien?
l.Do you intend to occupy the property as your primary residence? If "Yes," complete question m below.
m.Have you had an ownership interest in a property in the last three years? If "Yes", complete 1 & 2 below
(1) What type of property did you own—principal residence (PR), second home (SH), or investment property (IP)?
(2) How did you hold title to the home— by yourself (S), jointly with your spouse or jointly with another person (O)?
8. Acknowledgement and Agreement

Each of the undersigned specifically represents to Lender and to Lender's actual or potential agents, brokers, processors, attorneys, insurers, servicers, successors and assigns and agrees and acknowledges that: (1) the information provided in this application is true and correct as of the date set forth opposite my signature and that any intentional or negligent misrepresentation of this information contained in this application may result in civil liability, including monetary damages, to any person who may suffer any loss due to reliance upon any misrepresentation that I have made on this application, and/or in criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Sec. 1001, et seq.; (2) the loan requested pursuant to this application (the "Loan") will be secured by a mortgage or deed of trust on the property described in this application; (3) the property will not be used for any illegal or prohibited purpose or use; (4) all statements made in this application are made for the purpose of obtaining a residential mortgage loan; (5) the property will be occupied as indicated in this application; (6) the Lender, its servicers, successors or assigns may retain the original and/or an electronic record of this application, whether or not the Loan is approved; (7) the Lender and its agents, brokers, insurers, servicers, successors, and assigns may continuously rely on the information contained in the application, and I am obligated to amend and/or supplement the information provided in this application if any of the material facts that I have represented should change prior to closing of the Loan; (8) in the event that my payments on the Loan become delinquent, the Lender, its servicers, successors or assigns may, in addition to any other rights and remedies that it may have relating to such delinquency, report my name and account information to one or more consumer reporting agencies; (9) ownership of the Loan and/or administration of the Loan account may be transferred with such notice as may be required by law; (10) neither Lender nor its agents, brokers, insurers, servicers, successors or assigns has made any representation or warranty, express or implied, to me regarding the property or the condition or value of the property; and (11) my transmission of this application as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or my facsimile transmission of this application containing a facsimile of my signature, shall be as effective, enforceable and valid as if a paper version of this application were delivered containing my original written signature.

Acknowledgement. Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may verify or reverify any information contained in this application or obtain any information or data relating to the Loan, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency.

X
X
9. Information For Government Monitoring Purposes
The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.)
Borrower
Ethnicity
Race
Sex
Co-Borrower
Ethnicity
Race
Sex
TO BE COMPLETED BY LOAN ORIGINATOR
This information was provided
Was the ethnicity of the Borrower collected on the basis of visual observation or surname?
Was the sex of the Borrower collected on the basis of visual observation or surname?
Was the race of the Borrower collected on the basis of visual observation or surname?
X
I/We fully understand that it is a Federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of Title 18, United States Code, Section 1001, et seq.
X
X
By signing and submitting, I certify the information provided is true and accurate to the best of my knowledge.
BLUEPRINT BUSINESS ADVISORS•619-453-5737•support@blueprintbizadvisors.com
41593 Winchester Rd #200 Temecula, CA 92590