Medici Financial, Inc.

	There are 2 ways to apply for a loan:

	1. Print application and fax
	Click here to print the loan application and fax to 404-622-9683
	2. Online application Metro Atlanta only.

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Online Loan Application

Today's Date :

Close Date :

Borrower( s) :

COMPANY NAME :

Phone :

Fax :

Cell :

Subject Address :

Subject City :

Subject State :

Subject Zip Code :

Subject County :

Map :

Property Condition :

Neighborhood Condition :

Brick or Frame :

Condition of Roof :

Currently occupied or vacant :

What is your expected time frame for completing this project and paying off this loan?

Which of these following programs most interests you?

	70% LTV 6 month (Not for first time borrowers)
	65% LTV 6 month
	65% LTV 1 year
	60% LTV 26 month

PLEASE FORWARD THIS INFORMATION WITH ALL FIVE PAGES OF THIS APPLICATION SO THAT WE CAN BEGIN TO PROCESS YOUR LOAN REQUEST IMMEDIATELY

Attach copy of final, fully executed Purchase and Sale Agreement

Attach assignment agreements, if applicable, signed by all parties

Attach copies of your last two month's bank statements

Attach corporation, trust, LLC docs, if applicable

Attach copy of Social Security Card (for all borrowers)

Attach copy of Georgia Driver's License (for all borrowers)

Attach Statement of Understanding (DOWNLOAD HERE) for all borrowers/corporations/entities (included)

Provide Homeowner's/Builder's Risk Insurance Co :
Name of Insurance Agent :
Phone :
Fax :

SECTION 1 – Borrower's Plan for the Project

Please check your intended use for this property :

	a. Buy the property, fix it up, then sell it using conventional finance methods.
	b. Buy the property, fix it up, re-fi and hold as income property.
	c. Buy the property, then sell it to another investor.
	d. Other (please explain):

SECTION 2 – Anticipated Profit

Acquisition Costs (purchase + closing costs)

Cost of Loan (# of months x monthly payment)

Closing Costs for Sale (Taxes, Title, etc.)

Commissions (if applicable)

Other Costs

Total Costs

Expected Sales Price

FROM
Appraisal
Comparisons
Sq. Footage
Other

Expected Profit

SECTION 3 – Anticipated Repairs and Costs

COMPLETE THIS SECTION OR ATTACH REPAIR LIST/CONTRACTOR BID
LIST OF REPAIRS WITH ESTIMATED COSTS ESTIMATED AMOUNT

LIST OF REPAIRS WITH ESTIMATED COSTS

ESTIMATED AMOUNT

Dumpsters :

Roof Repair :

Electric Rough :

Electric Finish :

Window Repair :

Paint Interior :

Paint Exterior :

Interior Carpentry :

Framing :

Siding :

Exterior Carpentry :

Upgrade Kitchen :

Upgrade Bath :

Add Bath :

Upgrade Cabinets :

Countertops :

Carpet/Hardwood :

Tile Flooring :

Light Fixtures :

Plumbing Rough :

Plumbing Finish :

Sheetrock :

Interior Doors :

Exterior Doors :

HVAC :

HVAC Finish :

Insulation :

TOTAL ESTIMATED REPAIRS :

SECTION 4 – Borrower's Real Estate Experience

Complete this section only if this is your first loan with us.

The answers to these questions will assist us in finding the right product for your investor loan.

1. Are Borrower and Co-borrower

	Partners
	Married
	Related
	N/A

How did you hear about us?

2. Do the Borrower or Co-borrower have experience with rehabs?

	Yes
	No

If yes, how many homes completed in the past 12 months?

3. Are the closing costs being paid by the Borrower/Co-borrower:

	Yes
	No

4. Are the closing funds verifiable?

	Yes
	No

If yes, how

5. Are there any other individuals involved with this project who are not on the loan?

	Yes
	No

If yes, who?

6. Is there a plan for the work that needs to be completed?

	Yes
	No

7. Did the Borrower( s) get assistance with estimating the repairs?

	Yes
	No

8. Are the Borrower( s) repair costs being paid by the

	Borrower
	Financed/Escrowed

9. If not borrowing repair costs, are funds verifiable?

	Yes
	No

10. Are the Borrowers completing the work themselves?

	Yes
	No

11. If no to question #10, have they obtained estimates?

	Yes
	No

12. If yes to question #10, are estimates available for review?

	Yes
	No

13. Have any homes been given back to any lender, for any reason?

Borrower

	Yes
	No

Co-Borrower

	Yes
	No

14. Other than your primary residence, how many properties do you currently own?

How many of those are vacant?

15. If you are just starting to invest, please explain your real estate experience. What experience do you have in repairing properties?

SECTION 5 – Borrower's Authorization

Appraisal Authorization - COMPLETE ALL INFORMATION IN THIS SECTION

Purchase Price :

Estimated Repairs :

Loan Amount :

Estimated Market Value :

LTV% :

Property Address :

City :

State :

Zip :

County :

Contact person for appraisal company :

Daytime Phone :

Name( s) as it will appear on Mortgage: (Individual( s)/Corporation/LLC/Trust indicate name here)

AUTHORIZATION TO ORDER APPRAISAL

By signing below, I/We hereby authorize you to order a residential appraisal report on the property described above. I/We understand and take responsibility for the cost of the appraisal at the time of inspection. I/We understand that by not paying for the appraisal report in advance, that the cost for the appraisal will be paid at the time of closing. I/We understand that if a closing does not occur, I/we are responsible for the cost of the appraisal.

Borrower :

Date :

Credit Authorization -COMPLETE ALL INFORMATION IN THIS SECTION

Name of Borrower/Individual Guaranteeing Loan :

DOB (MM/DD/YYYYY) :

Note: To begin the credit check and process your application we MUST have an actual fax copy of your Social Security Card and your valid Georgia Drivers' License. Fax these to 404-622-9683

Current Address :

Apt. No. :

City :

St. :

Zip :

How Long :

Rent Payment :

Mortgage Payment :

Landlord/Mortgage Holder :

Marital Status :

Home Phone :

Work Phone :

Fax :

Cellular :

E-Mail Address :

Employer :

Position :

How Long :

Address :

City :

State :

Zip :

Gross Monthly Income :

Name of Nearest Relative (not living with you) :

Relationship :

Phone :

Address :

City :

State :

Zip :

Work or 2nd Phone :

Note: To begin the credit check and process your application we MUST have an actual fax copy of your Social Security Card and your valid Georgia Drivers' License. Fax these to 404-622-9683

CREDIT AUTHORIZATION/DISCLOSURE

By signing below. I/we certify that everything stated in this application and any attached documents is true and correct. I/We hereby authorize you to check my/our credit history, to obtain a Consumer Credit Report for the purpose of evaluating this application for credit, and to answer questions others may ask you about my credit record with you. I/we also authorize you to obtain any other information of public record pertaining to assets and other information deemed necessary in the review of this loan application and any other loan( s) or accounts I may have with your company.

Borrower :

Date :