J3 Escrow Backed Lending Intake Form

Escrow Backed Funding
Request Form

Are you the end borrower? *

Yes

As the Requestor, What is Your 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

Escrow Backed Deal Type *

How much are you requesting to fund? *

Subject Property Street Address *

City *

State *

Country *

Zip Code *

Please upload your Purchase Contract *

EMD Questions

Date Funds are Needed *

What is your CLOSE OF ESCROW date? *

When Does Inspection Period End? *

What is your 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?

Final Questions

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

Please Tell Us Who Told You About J3 *

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