DSCR Intake Form - Brickell Private Lending

Loan Details

Loan Purpose

Purchase

Cash-Out Refinance

Rate-and-Term Refinance

Prepayment Penalty Length (Years)

What is the LTV you are targeting?

Borrower Information

Borrowing Entity Name

Entity Address

Address Line 1

Address Line 2

City

State

Zip Code

Principal(s)

First Name

Last Name

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Email

Phone/Mobile

FICO

How many rental properties do you currently own?

Additional Principal(s) (if any)

Collateral

Property Address

Address Line 1

Address Line 2

City

State

Zip Code

Property Type

Purchase Price

Number of Units

Number of Units Rented

Monthly Rent

Annual Taxes

Annual Insurance

HOA (Monthly, if any)

Are there any Section 8 leases?

Yes

No

Do you live more or less than 50 miles from the subject property?

Less than 50 miles

More than 50 miles

Refinance

Purchase Date

Current As-Is Value

Amount Owned

Completed Renovation

I have read and agree to the Terms of Service and Privacy Policy

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