Loan Application

- Loan Application

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- How did you hear about us? REQUIRED
  Internet search, referral, word of mouth, other
  Please fill out this field. Please enter valid data.
- Briefly describe the request and project REQUIRED Please fill out this field. Please enter valid data.
- Location of project? REQUIRED
  city, state, country
  Please fill out this field. Please enter valid data.
- Type of project? REQUIRED new existing Please fill out this field.
- Amount of capital requested?
  dollar amount
  Please enter valid data.
- Type of loan? REQUIRED construction acquisition development refinancing Please fill out this field.
- Approximate "as is" value of project? REQUIRED
  dollar amount
  Please fill out this field. Please enter valid data.
- Completed value of project? REQUIRED
  dollar amount
  Please fill out this field. Please enter valid data.
- Is the project shovel ready? REQUIRED
  Yes or No
  Please fill out this field. Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Approximate net worth?
  dollar amount
  Please enter valid data.
- Credit REQUIRED good okay bad Please fill out this field.
- You agree that BCCG may evaluate your credit worthiness and will provide this proprietary information to the client and lender. All information provided will be held in confidence.
  I Agree Please select this field.
- Date REQUIRED Please fill out this field. Please enter a date.
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Benchmark Commercial Capital Group

Houston, TX

Loan Application