Initial Loan Application Form

Date :
Direct Commercial Capital will respond to loan request within 24 hours.

Please submit your loan to us today.  You can complete and submit this form, fax it to us at (862)647-3662 or email/fax an executive summary that includes the following information. Brokers are protected.
Broker Information        
Company Name:   Office Number :
Broker Name:   Cell Number:
Email:   Fax Number:
         
Borrower Information        
Company Name:   Office Number :
First Name:   Last Name:
Email:   Credit Score:
Loan Amount:   LTV:
         
Property Information        
Purpose of the Loan:    Description of Property
Property Address:   City:
State:   Zip Code:
Appraisal: Yes   Leasable Sq. Ft.
“As-Is” Market Value: (90-120 day sale)
“As-Improved” Market Value: (rehab or construction only)
Total Existing Debit:
Use of Loan Proceeds:
Plans for Repayment/Exit Strategy: