Application Form

THE APPLICATION FORM MUST BE RECEIVED BEFORE APPROVAL PROCESS WILL START. APPLICANT WILL BE CONTACTED TO PROVIDE VERBAL SOCIAL SECURITY NUMBER.

Information contained in this application and any exhibits is confidential and will not be released by DFW Specialty Lending to any third party unless requested by borrower

COMPLETION OF THIS PRE-QUALIFICATION FORM IS NOT A GUARANTEE OF CREDIT

How did you learn about our company?

Legal Name of Company or Individual

Name of Borrower

Texas DL#

Birthdate

Name of Co-Borrower

TDL#

Birthdate

Address (No P.O. Boxes )

City

State

Zip

Phone

Fax

Cell Phone

Marital Status

Employment

Salary/Income

Years Employed in this line of work

Monthly Debt

Name of individual who will be the Operations Contact

Operations address (if different from above)

Operations City

State

Zip

Operations Telephone

Fax

Type of Business (pick one):

Sole Proprietorship

DBA Name

Corp/LLC/LP

Fed Tax ID

Incorporation State

Have any of the Principals or Corporation ever filed:

Bankruptcy

Yes No

If yes - Date

Date of Release

Foreclosure

Yes No

If yes - Date

Date of Release

Judgments

Yes No

If yes - Date

Date of Release

What is your CASH liquidity?

How much for this transaction?

Have you every owned an investment property before?

How many?

Type of Projects Desired: Rental or Resale (circle one or both)

Areas of town interested in

Are you working with a realtor (Name/Phone)?

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