Loan Request — Progressive Lending Group

PROPERTY INFORMATION AND PURPOSE OF LOAN

Subject Property Address

(Street, City, State & ZIP)

Loan Request

Collateral

Loan Type

Loan Term

Property Type

EXISTING LOAN INFORMATION

(applicable if there is an existing loan)

Existing Loan

Interest Rate %

Term

Lender

BORROWER INFORMATION

BORROWING ENTITY

(if an entity)

Borrowing Entity

Tax ID:

Entity Type

BORROWER INFORMATION

(if an individual)

Borrower's Name

First Name

Last Name

Social Security Number

Date of Birth

YYYY

Phone

(###)

###

####

Mailing Address

(Street, City, State & ZIP)

Additional Information

Additional Information.Upload Files

Click on the "Upload Files" link to upload any relevant loan files (e.g. appraisals, construction budgets, financials, etc.)

CA Department of Corporations License 603 8364. Credit and collateral are subject to approval. Terms and conditions apply. This is not a commitment to lend. Programs, rates, terms and conditions are subject to change without notice.