Submit-Arriba Capital

LOAN QUESTIONNAIRE:

Loan Amount Requested *

$

Purpose: *

Term Requested:

Amortization Requested:

Rate Requested:

Summary:

Property Info:

Project Name:

Occupancy:

Property Type:

Property Value

$

Date Purchased:

Date Purchased:

MM

DD

YYYY

Purchase Price:

$

Property Address:

Property Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Annual Income:

$

Annual Expenses:

$

Size (SF):

Borrower Info:

Name:

Name:

First Name

Last Name

Company Name:

Phone

Phone

(###)

###

####

Bankruptcy:

Submitted By:

Name: *

Name:

First Name

Last Name

Company:

Email: *

Phone: *

Phone:

(###)

###

####

Submitted By: