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Individual and Commercial Loan Information Request

Applicant Information *Full Name: *Email: *Phone: Mobile: Property Information *City: *State: Please Select a State AL AK AZ CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TX UT VT VA WA WI WY *Zip Code: Property Type: Multi-Family / Apartments Investment Property - Commercial Retail Hotel / Motel / Inn Land Mixed-Use Property Vacation / Second Home *Property Description: Please tell us the size, use, condition, and any other pertinent information about the property. Date of Purchase: Please Select a Month January February March April May June July August September October November December Year: (yyyy) OR Purchase is Pending Purchase Price: $ *Current Property Value: $ * We appraise property as-is. I have written appraisal Loan Information *I need a loan of $ I need funding in: Immediately Less than 30 days 30-60 Days More than 60 days Credit Score: -- Please Select -- Less than 600 600-700 Greater than 700 *Purpose of Loan: (Use of Funds) *Additional Notes: Please provide us with any additional information we should know about this property, borrower, or situation to provide you with a fast, customized loan options. How did you learn about ACC Mortgage? -- Please Select -- Internet Search Email responding to my loan request Ad at rebusinessonline.com Ad in the Scotsman magazine I read an article about you in Scotsman magazine Ad in Western Real Estate Business magazine Ad in the Wall Street Journal The niche report Wall street journal Scotsman residential Scotsman commercial or scotsman online Local Newspaper Television Ad Radio Ad USA Today Washington Post I read an article mention ACC Mortgage in: I was referred by: Other:

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