LOAN REQUEST FORM

DATE:

REQUEST LOAN AMOUNT: $

SUBMITTED BY:

/

BORROWER INFORMATION:

Full Name:

Address:
City: State:Zip:
Work Phone: () -Mobile #: () -
Home Phone: () -Fax #: () -
Email: /

Full Name:

Address:
City: State:Zip:
Work Phone: () -Mobile #: () -
Home Phone: () -Fax #: () -
Email:

BORROWER FINANCIAL INFORMATION: Being Faxed

Total Assets: $ Total Liability: $ Net Worth: $

Credit Scores: Credit Report Being Faxed

SCHEDULE OF REAL ESTATE: Being Faxed

Subject Address #1: City: State: Zip:
Property Type: Cost: $ Present Value: $ Existing Debt: $ Income: $
Subject Address #2 (if any): City: State: Zip:
Property Type: Cost: $ Present Value: $ Existing Debt: $ Income: $
Subject Address #3 (if any): City: State: Zip:
Property Type: Cost: $ Present Value: $ Existing Debt: $ Income: $
Subject Address #4 (if any): City: State: Zip:
Property Type: Cost: $ Present Value: $ Existing Debt: $ Income: $

SUBJECT PROPERTY

Property Name (if any):
Address: City: State: Zip:
Purchase: Refinance:
Sale Price:$: Date Acquired:
Cash Down:$: Original Cost:$
1st T.D.:$: Estimated Value:$
2nd T.D.: $: Amount of Payoffs:$
Source of Down Payment: $
Loan Term:
1st Lender: Interest Note & Term:
2nd Lender (if any): Loan Amount: $ Interest Note & Term:
Other Liens:
OVERVIEW, EXECUTIVE SUMMARY:
DESCRIPTION OF PROPERTY:
Apartment Office Retail Industrial Hotel Land Other
Total Sq. Ft.: Net Rentable Sq. Ft.: Vacant Sq. Ft.: %
Year Built: # of Stories: Conditions:
Overview, and general description of property:

HISTORIAL PROFIT & LOSS INFORMATION (most recent 3 years): Being Faxed

Revenue (annual):2005 20062007
Rental Income: $ $ $
Reimbursements: $ $ $
Other Income: $ $ $
Gross Income: $ $ $
Less Vacancy:$ $ $
NET REVENUE:$ $ $
Expenses:
Taxes:$ $ $
Utilities:$ $ $
Maintenance:$ $ $
Insurance$ $ $
Other:$ $ $
TOTAL EXPENSES:$ $ $
NET OPERATING INCOME: $ $ $
RENT ROLL as of 2007: Being Faxed
Unit #/Tenant:Sq. Feet:Start Date:End Date:Base Rent:Reimbursement:
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $

PLEASE RESPOND THE FOLLOWING:

Principals (please include background, outstanding issues, bankruptcies, net worth, etc.):

Unusual Items/Risk Factors/Issues (with regard to subject property):

Location/Neighborhood:

Physical Condition:

Environment Issues, if any:

ADDITIONAL COLLATERAL, IF ANY:

Address: City: State: Zip:
Date Acquired: Original Cost: $ Estimated Values: $ Amount of Payoffs:
DESCRIPTION OF PROPERTY:
Apartment Office Retail Industrial Hotel Land Other
Total Sq. Ft.: Net Rentable Sq. Ft.: Vacant Sq. Ft.: %
Year Built: # of Stories: Conditions:
Overview, and general description of property:

ADDITIONAL COLLATERAL (continued)

HISTORIAL PROFIT & LOSS INFORMATION (most recent 3 years): Being Faxed

Revenue (annual):2005 20062007
Rental Income: $ $ $
Reimbursements: $ $ $
Other Income: $ $ $
Gross Income: $ $ $
Less Vacancy:$ $ $
NET REVENUE:$ $ $
Expenses:
Taxes:$ $ $
Utilities:$ $ $
Maintenance:$ $ $
Insurance$ $ $
Other:$ $ $
TOTAL EXPENSES:$ $ $
NET OPERATING INCOME: $ $ $
RENT ROLL as of 2007: Being Faxed
Unit #/Tenant:Sq. Feet:Start Date:End Date:Base Rent:Reimbursement:
$ $
$ $
$ $
$ $
$ $
$ $
$ $

ADDITIONAL COLLATERAL (continued)

PLEASE RESPOND THE FOLLOWING:

Principals (please include background, outstanding issues, bankruptcies, net worth, etc.):

Unusual Items/Risk Factors/Issues (with regard to subject property):

Location/Neighborhood:

Physical Condition:

Environment Issues, if any:

414 13th Street, Suite 400 Oakland, CA 94612. / P: (510) 452-9144 / F: (510) 452-2836 /

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