Hills Financial Service

Choose a Loan Program

Please provide the following information to receive a preliminary estimate of loan terms. Loans will be made to a business entity and personally guaranteed by the individuals of the entity.

Loan Program *

Pricing Quote

Property Type *

Number of Units

Purchase Price ($)

$

Purchase Date (if Refi)

Refinance — Estimated Payoff ($)

$

Estimated As-Is Value ($)

$

Estimated Rehab ($)

$

Estimated After Repair Value ($)

$

Rental Property Fields (if applicable)

Monthly Rent Per Unit ($)

$

Annual Taxes ($)

$

Annual Homeowners Insurance Premium ($)

$

Annual HOA Dues ($)

$

Borrower's Experience (how many properties)

Experience is determined within the last 3 years as properties flipped or held as rentals deeded in borrower's business or personal name. Not required, but affects LTV and interest rates.

Additional Notes / Comments

0 / 3000

II. Property Information

No. of Units

Liens currently on property?

YesNo

This is a Construction Loan — complete the following

This is a Refinance Loan — complete the following

III. Borrower Information (*If Applying as an Individual)

Borrower's Name

Income Type	Borrower ($)
Dividends / Interest	$
Net Rental Income	$
Other Income	$

Expense Type	Borrower ($)
Hazard Insurance	$
Real Estate Taxes	$
Mortgage Insurance	$
HOA Dues	$
Other	$

Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered for repaying this loan.

*If Applying as an Entity — Attach Income Statement & Recent Balance Sheet (B = Borrower; C = Co-Borrower)

B/C B = Borrower; C = Co-Borrower	Description	Monthly Amount ($)
		$
		$

IV. Entity Formation (*If Applying as a Business Entity)

Entity Name

State of Organization

TIN

Signing Party & Members (owner of 20% or more)

#	Member Name	Title
1
2
3
4
5

Date of Filing to Organize

Filing Locations

Principal Place of Business Address (not a PO Box)

Mailing Address (if different)

V. Employment Information (*If Applying as an Individual)

Borrower

Name & Address of Employer

Self Employed

Years on this Job

Years in this Line of Work / Profession

Position / Title / Business Type

Business Phone

Currently at this job less than 2 years / employed in more than one position

VI. Monthly Income & Combined Housing Expense Information

Gross Monthly Income	Borrower / Entity ($)	Co-Borrower / Entity ($)	Monthly Housing Expense	Current ($)	Requested ($)
Base Employment Income			Rent
Overtime			1st Mortgage (P&I)
Bonus(es)			2nd Mortgage (P&I)
Commission(s)			Other Financing (P&I)

To Be Completed by Loan Originator

This information was provided:

In a face-to-face interviewIn a telephone interviewBy the applicant and submitted by fax or mailBy the applicant and submitted via e-mail or the internet

Loan Originator's Signature

Date of Signature

Loan Originator's Name

Loan Originator's Company Name

BRE No.

NMLS No.

Loan Originator's Phone

Company Address

VII. Assets and Liabilities

This statement may be completed jointly. Note (*) liabilities to be satisfied on sale/refinance of subject property.

Completed

JointlyNot Jointly

Cash Deposit Toward Purchase Held By

Cash Deposit Amount ($)

$

ASSETS — Checking & Savings Accounts				LIABILITIES
Who	Bank / S&L / CU Name & Address	Acct No.	Cash/Mkt Val ($)	Who	Company Name & Address	Acct No.	Mo. Pmts / Mos Left / Unpaid Bal ($)

Borrower

Real Estate Owned (enter market value from schedule of real estate owned)

$

Borrower

Vested Interest in Retirement Fund

$

Borrower

Alimony / Child Support / Separate Maintenance Pmts owed to:

Borrower

Net Worth of Business(es) Owned (attach financial statement)

$

Borrower

Job-Related Expenses (childcare, union dues, etc.)

$

Total Monthly Payments:

$

Net Worth:

$

Borrower

Automobile(s) Owned (make and year)

Borrower

Other Assets (itemize)

VIII. Schedule of Real Estate Owned

Mkt Val ($)	Mortgages & Liens ($)	Gross Rental ($)	Mortgage Pmts ($)	Maint/Tax/Misc ($)	Net Rental ($)
$	$	$	$	$	$
$	$	$	$	$	$
$	$	$	$	$	$
$	$	$	$	$	$

Additional Properties on an Addendum?

YesNo

IX. List of Authorized Signers (Borrower, Co-Borrower and/or Guarantors)

Cost Breakdown

a. Purchase Price ($)

$

b. Alterations, Improvements, Repairs ($)

$

c. Land (if acquired separately) ($)

$

d. Refinance (incl. debts to be paid off) ($)

$

e. Estimated Prepaid Items ($)

$

f. Estimated Closing Costs ($)

$

g. Discount (if Borrower will pay) ($)

$

i. Subordinate Financing ($)

$

Declarations

Please answer all questions. If "Yes," use continuation sheet for explanation.

Commercial Loan Application

Application Sections

Loan Program

Borrower & Credit

Property & Income

Entity, Employment & Monthly Income

Assets, Real Estate & Declarations

Choose a Loan Program

Pricing Quote

Borrower Information

I. Credit Requested

II. Property Information

III. Borrower Information (*If Applying as an Individual)

IV. Entity Formation (*If Applying as a Business Entity)

V. Employment Information (*If Applying as an Individual)

Borrower

VI. Monthly Income & Combined Housing Expense Information

Borrower

To Be Completed by Loan Originator

VII. Assets and Liabilities

VIII. Schedule of Real Estate Owned

IX. List of Authorized Signers (Borrower, Co-Borrower and/or Guarantors)

Cost Breakdown

Declarations