Borrowers and brokers, if you have a loan proposal for us, please either fill out and submit this form or send - by email or fax - an executive summary that includes the following information. Brokers are protected. To download this form click here.

Principal's Name*:
Company:
Address:
Phone*:
Fax:
E-mail*:
	Are you Using a Broker?

Broker's Name:
Company:
Address:
Phone:
Mobile Phone:
Fax:
E-mail:

Loan Amount*:
Address of Property*:
	Purchase Loan		Refinance Loan
	Is this a Construction Loan?

Purchase Price*:
Downpayment*:

Existing Debt*:
1st Mortgage Amount*:
2nd Mortgage Amount*:
Other Liens*:
As Is Market Value:

As Improved Market Value*:
As-Improved Sale Value*:
for construction loans only, 4-6 Months

Use of Proceeds*:
Plan for Repayment*:
How Did You Hear About Us?:
Have You Spoken to a Loan Officer? If so Who?:
	* required fields
	I have read and agree to the KSI internet privacy policy *