SOUTH COAST LENDERS, INC.

Your Name

How did you hear about us?

Take Title in the Name of (e.g., LLC Name)

Email Address

Phone Number

What type of work do you do?

Employer

Property Address (this cannot be your primary residence)

Property Type Property TypeSingle FamilyMulti-Family (2-4 Units)Multi-Family (5+ Units)CondoTownhouseLot/LandCommercial

Describe the property (beds, baths, sq ft, good points)

Purpose of Loan? Purpose of Loan?PurchaseRefinance

Purchase Price

Purchase Price when you initially acquired the property

Current Value Estimate (if refinance)

Requested Loan Amount

Your anticipated down payment

If refinance, what are your plans for the loan proceeds?

Are you aware of any settling or sinkhole issues with this property? Are you aware of any settling or sinkhole issues with this property?YesNo

If yes, what are the problems and have they been remediated?

What are your plans and budget to improve the value of the property?

What do you believe the ARV will be when it is ready to be sold?

If refinancing, are there any liens on the property? If refinancing, are there any liens on the property? YesNo

If yes, please explain

Your 3 credit scores

Before submitting your application, please confirm the following: Before submitting your application, please confirm the following: This information is true and correct to the best of my knowledge.