Short Term Loan Application | Pacific Inter Capita

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Short Term Application

First name*

Enter your first name here

Last name*

Type your last name here

Email*

Type your full email here

Phone*

Enter your contact phone number here

Is the number above your cellphone?

Yes

No

Purpose of Loan*

Type of Property*

Property Address*

Please enter the property address, city, state and zip code here

Is this property your principal residence? *

Yes

No

Is the property under contract?*

Yes

No

Is this a Refinance?

Yes

No

Do you need a Pre-approval Letter?

Yes

No

Purchase Price of the property (if purchased)

Input the purchase price here

Requested Loan Amount*

Enter the requested loan amount here

Estimated Repair Cost of the Property

If applicable, input the estimated repair cost here

Estimated Value After Rehab

If applicable, type in the Estimated Value of the Property After Rehab

When do you need to close by? *

Input exact or approximate date by which you need to close here

How do you plan to repay the loan?*

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