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| First Name: |
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| Last Name: |
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| Title |
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| Company Name: |
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| Owner Street Address: |
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| Owner Address (cont.): |
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| Owner City: |
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| Owner State/Province: |
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| Owner Zip/Postal Code: |
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| Work Phone: |
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| Fax: |
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| E-mail: |
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| Web Site Address: |
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| Property Value ($): |
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| Property Type: |
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| Property Street Address: |
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| Property Address (cont.): |
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| Property City: |
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| Property State: |
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| Property Zip: |
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| Is this a credit tenant net lease property? |
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| Is this property occupied (>25%) by owner? |
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| Desired Loan Amount ($): |
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| Desired Loan Type: |
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| Desired Interest Rate Type: |
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| Desired Amortization (for Permanent Loan): |
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| Desired Loan Term (for Permanent Loan): |
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| Rate the importance of the following loan features.
Commercial Mortgage Resources will match you with the Lenders that best meet your
needs. |
| 1st Preference: |
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| 2nd Preference: |
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