Online Application

Loan Details

Instructions Use the quick loan application below and a loan officer will contact you shortly. Submitting this form does not commit or obligate you in anyway. It is intended only to give you a fast response from The Samuel Group, Inc. to let you know our level of interest in your project.

Purpose of Loan:

Property Type:

Property Street Address:

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Property Description (including condition):

Acquisition/Purchase Price:

Date Acquired:

Current Appraised Value:

Amount of Loan Requested:

Existing Debt:

Current Gross Income/Year:

Current Net Income/Year:

Net Rentable Square Footage:

Percent Occupancy:

Borrower Information

Borrower or Vested Owner:

Occupation:

Address:

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Telephone:

Fax:

Email:

Borrower's Annual Income:

How did you hear about us?

Submit Application:

Please enter any two digits *Example: 12
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