Firscity Finance Inc | Financial Funding Solutions

Business Information

Business/Borrower's Name:

Entity Tax Identification (EIN/TIN/SSN):

Street Address:

City / Zip Code:

Country:

Phone Number:

Email Address:

Loan Details

Total Amount Requested ($):

Loan Term in Months:

Purpose of the Loan:

Monthly/Yearly Income ($):

Borrower Owner Information

Name of Business Owner:

Date of Birth (mm/dd/yyyy):

Occupation:

Contact Address:

Business Loan Information (if applicable)

Property Address:

Existing Property Type:

Finished Property Type:

Property Construction/Rehab Type:

Current Number of Units:

Projected Number of Units:

Occupancy at Funding:

Purchase or Refinance:

Target Funding Date:

Brief Description of the Real Estate Project:

Brief Description of Business:

Certification

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is used to determine the amount and conditions of the credit to be extended.

Borrower Signature:

Date:

Loan Application

Business Information

Loan Details

Borrower Owner Information

Business Loan Information (if applicable)

Certification