New Borrower Application

Please fill in all fields:

First Name:

Last Name:

eMail Address:

Home Address

City

State

Zip Cope

Phone Number

Social Security Number

Date of Birth

Borrowers Business Name

Business Entity

State of Organization

Business Address

City

State

Zip Cope

Is the business current and in good standing with the state?

Are you a full time, part time, or passive real estate investor?

What is your primary focus?

# of houses/units built or renovated in your career?

# of properties/units that you own?

Your average construction or renovation budget?

How many years of real estate experience do you have?

Do you have any real estate licenses? If yes, which one?

# of houses/units built or renovated last year?

Your average purchase price for a property?

Your average personal checking or savings account balance?

Have you ever filed for bankruptcy?

Do you have any outstanding liens or judgements against you?

Have you ever given property title or deed in lieu of foreclosure?

Your average business checking or savings account balance?

Have you ever had a loan default or foreclosure?

Are you presently delinquent or in default on any debt?

How would you describe your credit?

I authorize you to make inquiries with credit reporting agencies?

I understand this is a business purpose loan and not for personal use?

Please fill out all fields. Fields that are not filled will eventually require answers to complete your loan.

How did you hear about us?

Thanks for submitting, We will contact you shortly.

New Borrower Application

If you have questions contact us:

Our Hours of Operation are: Monday - Friday 9am - 5pm

Our Phone #:

1-732-444-4848

Our eMail:

info@genesisprivateequity.com

Please note: The actual interest rate may vary based on the loan selected, borrower experience, credit history, property type, location, and other factors determined by lender. Not all consumers will qualify for specific rates and terms offered to applicants. Rates are subject to change without notice. The lowest rate advertised should generally be considered an ideal lending scenario. The minimum period allowed for borrower repayment is six months and the maximum period of repayment is twenty-fout month. The maximum annual percentage rate (APR) is fifteen percent. An example of the total cost of a loan: A one million dollar loan at seven percent interest-only APR, for one year, with origination fees of three percent, will cost a total of one hundred thousand dollars. The information provided is for educational purposes only and is not intended to be, and should not be construed as investment, legal or tax advice.