Your name: Phone: Email: Company name (Broker): State: Loan amount Type of financing? Select Bridge financing Conventional loan FHA Commercial FNMA commercial Freddie Mac Commercial HUD commercial Hard money Factoring (construction) Factoring (healthcare) Other If other, please indicate: Are you seeking? Select Acquisition Construction (New) Construction (Rehab) Refinancing Factoring (construction) Factoring (healthcare) Other Property type: Select Assisted living facility Apartment building-Multifamily Carwash C-Store Gas station Golf course Healthcare/medical facility Hospital Hotel (Flagged) Hotel (Independent) Industrial Land (commercial) Mixed use Nursing home Office building Parking garage/lot Restaurant Retail center Self-storage Warehouse Other If other, please indicate: How many lenders have seen this deal? Are you licensed? Select Yes No License not required Typical broker fee to clients (points) %: Broker fee (points %) this client: Do you have an agreement with this client? Select Yes No Who referred this client to you? Select My website / direct broker existing client Other If Other, please indicate: Dealing directly with client or through third party? Select Direct Through a broker Other third-party Please provide a summary of the deal you would like us to consider: