Loan Application Form

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Bluegrass Equity Partners Ltd. Co.
LOAN APPLICATION FORM
Please complete this form and email to
Broker’s Name:
Company Name:
Address:
Phone:
Email:
Principal’s Name:
Company Name:
Address:
Phone:
Email:
Loan Amount:
Purpose of Loan:
Description of Collateral:
As-is Market Value:
As-is Disposition Value:
(90-120 day sale)
As-Improved Market Value:
Existing Debt:
Existing Fee Agreement:
Plan for Repayment:
How did you hear about us?:
Additional Comments:

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