National Investment Realty, LLC

7 Bond Street, Suite 3FR, Great Neck, N.Y 11021-2414

Tel. 516- 466 6262 , Fax 516- 466 6661

nirusa@optonline.net

LOAN APPLICATION

Name: 

Date:      Phone:         Fax:       

Borrower(s):  

Property Address  

Property Type         Owner Occupied:

Building size:       Number of Units:     Occupancy: 

Loan Request:      Estimated Value:    LTV: 

Date Purchased:      Purchase Price:

Property Income       Expenses       NOI: 

Purpose of loan (check all that apply):      Purchase            Re-Finance         Cash-out

Summary of relevant facts:

                                                                                                               

 

IF YOU WISH TO E.MAIL THIS FORM BACK TO US, PLEASE PRESS THE 'SEND' BUTTON ABOVE

OR

PRINT THE FORM AND SEND IT BACK TO US BY FAX OR BY MAIL