J3 Escrow Backed Lending Intake Form

Escrow Backed Intake Form

Are you the end borrower? *

Yes

Requestor's Full Name *

Best way to contact you? *

Borrower's Information

First Name *

Last Name *

Phone *

Email *

SMS/Text (Opt-In) *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (XXX) XXX-XXXX for assistance. You can reply STOP to unsubscribe at any time.

Loan Information

What type of loan product are you looking for? *

How much are you requesting to fund? *

Address

Street Address *

City *

State *

Country *

Postal code *

Please upload your Purchase Contract *

EMD Questions

We Charge an Upfront Fee *

Yes, I am willing to pay the non-refundable fee for your services, which will be minimum 1% of the amount or $250 (whichever is greater)(For 60 day holds, the fee is 2% or $500)

No, I am not willing to pay for your time and efforts preparing to fund and will seek funding elsewhere

Date Funds are Needed *

What is your CLOSE OF ESCROW date? *

When Does Inspection Period End? *

What is your first exit strategy? *

Double Close Questions

Will the funds be returned SAME DAY? *

Yes, the funds will leave from the sending account and be returned to the same account within the same business day

No, the funds are needed longer than a 1 day turn around

Seller Carry Back Questions

How much is the seller carrying for you as the borrower?

Borrower Experience

What is your (the borrower's) experience in LIKE DEALS in real estate over the last 3 years *

Entity Information

Are you signing the contracts under an entity name? *

Yes

What is the name of the entity this property will be owned by? *

What is the entity address? *

What is the borrower's full primary residence address? *

Final Questions

Any other information you would like to share about THIS deal?

Please tell us who told you about J3 *