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J CAPITAL FUNDING

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Property Full Address*

Borrower Full Name*

Phone Number*

Email Address*

Traction Type

Purchase

Refinance R&T

Refinance Cashout

2nd Loan

Market Value/As Is

Purchase Price

Loan Amount Requested

Construction Amount

After Repair Value

Property Type

Number of Units

Estimated Credit Score

Professional License

Number of Complete Fix & flip / Rehab Projects - Past 5 years

Number of Rental Property Own Currently

First time Fix & Flip/hold or Looking for DSCR long term

Liquidity/Checking/ Saving / brokerage / Stock/ IRA

Exit Strategy

Total Rental Income /DSCR

Property Annual Tax

Notes/Comments

Broker Info Company Name

Broker Name / Mobile

Broker Request Origination % /Commission Point

Broker Email Address

Agent name

J Capital Funding Corp
646-725-8159
30-10 41st Ave., Suite 102

Long Island City, NY 11101

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