Loan Submission Subject Property Address Street Address: Street Address Line 2: City State / Province: Postal / Zip Code: Estimated As Is Value? (AIV) *: Loan Amount Requested: * Loan Type: —Please choose an option—PurchaseRefinance Loan Purpose: —Please choose an option—Now create your own Jotform - It's free! Create your own JotformFix & FlipGround Up ConstructionResidential Bridge / Cash OutsRental Loans (DSCR)Multifamily Value AddMultifamily Loan TermCommercial Real Estate Property Type: —Please choose an option—Residential (1-4) / CondoMultifamilyLandCommercial Expected Loan Duration?: FICO: Rehab / Construction (If Applicable) Construction / Rehab Budget: Projected Future Value (ARV): Projected NOI: Exit Strategy?: If this is a Rental Loan What is the Rental Income: Estimated Property Taxes: Estimated Property Insurance: HOA Fees (If Applicable): Contact Details First Name: Last Name: Phone Number: * Email: * Are you: —Please choose an option—Direct BorrowerRepresenting BrokerCorrespondent Lender Your Representative Name: Terms & Conditions Equity Capital Prime reserves the right to modify or discontinue products and benefits at any time without notice. Rates and terms are subject to change at any point prior to application submission. Your soft quote is based on the information you provided. All final offers require verified credit information which could impact your qualified rate. The information you provide is an inquiry to determine whether Equity Capital Prime and/or its lending partners can make you a loan offer. All information you provide is confidential and won't be sold to third-parties. File Submission: