Broker Referral Application - JCREIG Capital Funding | The Nation’s Premier Lender For Real Estate Investors

Let's Submit Your Borrowers...

Loan Application

Complete the form below for a quick quote/pre-approval on the project
or call us at (561) 303-0334 to speak with our lending experts.

Broker Information

First Name *

Last Name *

Email *

Cell Phone *

Other Phone

Broker Fee

Borrower Information

First Name *

Middle Name

Last Name *

Date of Birth *

Social Security Number *

U.S. Citizen? *

Email *

Cell Phone *

Other Phone

Address *

Have you lived here for two years? *

Estimated Credit Score *

Housing Status *

Entity Name

Entity Type

How did you hear about us? *

Details

Is there a co-borrower? *

Deal Information

Purchase or Refi *

Loan Type *

Property Type *

Property Address *

Purchase Price *

Purchase Date

Construction Costs

After Repaired Value

Exit Strategy

Requested Loan Amount *

Cash For Down Payment

Reserves Post Closing

Property Currently Rented

Annual Property Taxes

Annual Property Insurance

Monthly Flood Insurance

Monthly HOA Dues

Do you have a preferred vendor for title insurance?

Do you have a preferred vendor for property insurance?

Other Details

Borrow Experience

Fix & Flips or Fix & Holds Completed Last 3 Years *

Number of Rental Units Currently Owned? *

Other Real Estate Experience?

Experience Explanation

Borrow Declarations

Do you (borrower or co-borrower) have any outstanding liens or judgements against you? *

Have you (borrower or co-borrower) declared bankruptcy or had a foreclosure in the past 4 years? *

Are you (borrower or co-borrower) presently delinquent on any debt, lien, mortgage or financial obligation? *

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? *

Are you a party to a lawsuit? *

Is any part of the down payment borrowed? *

Do you intend to occupy the subject property? *

How many properties do you currently own? *

If you answered yes to any of the above declarations, please explain

Information For Government Monitoring Purposes

The Home Mortgage Disclosure Act (HMDA) requires many financial institutions to maintain, report, and publicly disclose loan-level information about mortgages. These data help show whether lenders are serving the housing needs of their communities; they give public officials information that helps them make decisions and policies; and they shed light on lending patterns that could be discriminatory. The public data are modified to protect applicant and borrower privacy.

HMDA was originally enacted by Congress in 1975 and is implemented by Regulation C.

Borrower Ethnicity *

Additional Details

Borrower Race *

Borrower Sex *

Borrow Authorization

Borrower Signature

By typing your name here, you acknowledge it is the same as signing.

Card Authorization

Card Information *

Exp *

CVV *

I understand & agree my credit card will be charged $45.00 for Credit & Background Check.

I agree to save my card for future transactions. *

Yes No