BROKER INFORMATION (Part 1 of 7)

Broker Full Name

Broker Phone

Broker E-mail Address

Borrower Name

Name of Project

GENERAL INFORMATION (Part 2 of 7)

1. What is the Acreage or Square Footage of the Property?

2. What is the total loan amount requested?

3. What is currently on the property?

4. Where is Property Located?

5. What is the exit strategy from this loan?

DEVELOPMENT SCENARIO (Part 3 of 7)

1. Current "as-is" value of the property

2. When was the Property Purchased?

3. What was the purchase price?

4. Has the borrower invested anything into the property?
 Yes No

5. If so, please include a breakdown

6. Is there any debt on the property?
 Yes No

7. If so, how much?

8. Amount of Development Funds Requested

9. Value of Property after use of Development Funds

10. In addition to the primary collateral how much cash and/or additional collateral can the borrower(s) bring to closing?

REFINANCE SCENARIO (Part 4 of 7)

Note: If the property currently has debt on it please also fill out this section.

1. Current "as-is" value of the property

2. What was the purchase price?

3. Has the borrower invested anything into the property?
 Yes No

4. If so, please include a breakdown

5. How much debt is currently on this property?

6. Why is the borrower in need of a refinance?

7. Loan Amount Requested

8. Is the property currently producing income?
 Yes No

9. If yes, what is the Net monthly Income?

ACQUISITION SCENARIO (Part 5 of 7)

Note: If this property is not currently owned by the borrower please also fill out this section.

1. Purchase Price of Property

2. Current "as-is" value of the property

3. Loan Amount Requested

4. In addition to the primary collateral how much cash and/or additional collateral can the borrower(s) bring to closing?

5. Is the property currently producing income?
 Yes No

6. If yes, what is the Net monthly Income?

COMPLETED BY (Part 6 of 7)

App Completed by

Title

ADDITIONAL INFO (Part 7 of 7)

Have you spoken to an Alleon representative? If so please specify

Additional Notes