New Borrower Account Input Form

Name *

First

Last

Full Legal Name *

Phone *

Email *

Alternate E-Mail

Primary Residence Address *

Address Line 1

Address Line 2

City

State

Zip Code

Are you working with an Account Representative? *

Select the name of your Account Representative? *

Do you own this residence? *

Is your Mailing Address the same? *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Preferred Borrower Account Program

The Preferred Borrower Account ("PBA") program is designed for investors that are looking to close quickly on real estate investment transactions and anticipate completing multiple transactions with TaliMar Financial. Once approved, we will issue a Letter of Credit borrowers can use to submit with their offers and issue property specific Proof of Funds Letters upon request. The program is free and does not require a Credit Check to get approved.

Would you like to sign up for the Preferred Borrower Account Program? *

Yes
No
I don't know

Date of Birth *

Social Security Number *

Drivers License Number *

State Issued *

Expiration Date *

Marital Status *

Single
Married
Seperated
Divorced
Widowed
Other

Explain *

# of Dependents

Ethnicity Questionnaire *

No, I will NOT furnish this information

The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, nor on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations, the lender is required to note ethnicity, race, and sex on the basis of visual observation or surname. If you do not wish to furnish the information, please initial below.

Ethnicity *

Hispanic or Latino
Not Hispanic or Latino

Race *

American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacific Islander
Asian
White

Sex *

Female
Male

Is your spouse going to be a signer on the loan? *

Spouse's Name *

First

Last

Spouse's Email *

Social Security Number *

Employment Information

Though we don't have a income requirement for most of our loan programs, we do want to establish that ability to make the monthly payment on the loan.

What is your Employment Status

W2
1099
Not Employed
Other

Explain *

Primary Employer Name *

Years at Employer *

Title *

Address of Employer *

Address Line 1

Address Line 2

City

State

Zip Code

Business Phone *

Prior Employer *

Years at Prior Employer *

Prior Title *

Address of Prior Employer *

Address Line 1

Address Line 2

City

State

Zip Code

Business Phone *

Years Employed in this Profession? *

Prior Year Gross Income *

Approximate Year to Date Income *

Have you filed your prior year income tax return? *

Explain status of tax filing *

What is your approximate credit score? *

Please note TaliMar Financial will not pull your credit unless we have written authorization to do so.

Explain any derogatory credit items that may appear on your credit.

What is the approximate credit score of your Spouse? *

Please note TaliMar Financial will not pull your credit unless we have written authorization to do so.

Explain any derogatory credit items that may appear on your credit. (copy) *

Are you a US citizen? *

Explain *

Are you involved in any pending litigation? *

Explain *

Have you been convicted of a felony? *

Explain *

Have you declared bankruptcy in the last 7 years *

Explain *

Have you had a property foreclosed upon or given title or deed in lieu in the last 7 years? *

Explain *

Have you directly or indirectly been obligated on any loan of which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement? *

(This would include such loans as home loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee. If "Yes" provide details, including date, name, and address of Lender, FHA, or VA cash number, if any, and reasons for the action)

Explain *

Are you presently deliquent or in default of any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? *

Explain *

Are you a co-maker or endorser on a note? *

Explain *

Are you required to pay alimony, child support, or separate maintenance? *

Explain *

Do you have any existing / prior tax liens or judgements? *

Explain *

Have you had an ownership interest in a property in the last three years? *

What type of property *

Primary Residence
Secondary Residence
Investment Property

How did you hold title to the property? *

Yourself (inclusive of Trust)
Jointly with a Spouse (inclusive of Trust)
Jointly with another Person
Entity (LLC, Corp, Etc.)

Borrower Information

Complete this section for the person or entity that will be signing the loan documents. Include information for all persons required to sign.

Will the property be owned in an LLC / Corp, Trust, or 401k? *

Entity Type *

LLC / LP / GP / Corp
Trust
401K / IRA

Has another member filled out an application for this entity? *

Who is the Custodian? *

What is the Phone Number of the Custodian? *

What is the name of the Trust? *

When was the Trust formed? *

Dropdown *

Company Name *

Formation State *

Mailing Address of the Trust *

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address of the Custodian *

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address of the Entity *

Address Line 1

Address Line 2

City

State

Zip Code

Tax ID # *

Is the Company in Good Standing *

Explain *

Contact Name 1 *

Title *

Will there be another signer? *

Contact Name 2 *

Contact 2 Email *

Title *

Will there be another signer? *

Contact Name 3 *

Contact 3 Email *

Title *

Investment Experience

Do you own a rental property?

If YES, you may also submit a Real Estate Schedule.

How many Rental Properties do you own? *

Have you flipped a Property in the last 24 Months? *

How properties have you flipped in the last 24 Months? *

Share any additional experience in real estate that would help us evaluate your experience *

How did you hear about TaliMar Financial? *

Please Explain. *

Please provide the name of who referred you TaliMar Financial. *

Signature *

Clear Signature

I/We fully understand that is is a Federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of Title 18, United States Code, Seciton 1001, et. seq.