Simply fill out the form below to apply for a commercial loan. Required fields are marked with the asterisk sign(*).

Your application is subjected to approval and you will be notified as soon as a decision has been made. Thank you for choosing VisionQwest.

LOAN INFORMATION
PROJECT NAME*:
PROJECT INFORMATION:
TYPE OF LOAN*:
PURPOSE OF LOAN:
AMOUNT OF LOAN REQUEST*:	$
SALES PRICE/ VALUE OF PROPERTY*:	$
AMOUNT OF DOWN PAYMENT*:	$
INTEREST RATE DESIRED*:	%
LOAN TERM DESIRED*:
AMORTIZATION DESIRED*:

PROPERTY INFORMATION
TYPE OF PROPERTY*:
PROPERTY ADDRESS*:
CITY/STATE/ZIPCODE*:
GROSS SQUARE FEET:		RENTABLE SQ FT:
NUMBER OF VACANCIES:		TOTAL NUMBER OF UNITS:
LAST YEAR RENOVATED*:		AGE OF PROPERTY*:
DESCRIPTION OF BUILDINGS:
SPECIAL ISSUES, PROBLEMS & CURB APPEALS:

BORROWER 1 INFORMATION
Complete Name*:
TYPE OF ENTITY*:	IndividualPartnershipCorporationOther
ANNUAL INCOME*:	$	OCCUPATION:
NET WORTH*:	$	CREDIT SCORE: (AVERAGE)*

BORROWER 2 INFORMATION
Complete Name:
TYPE OF ENTITY:	IndividualPartnershipCorporationOther
ANNUAL INCOME:	$	OCCUPATION:
NET WORTH:	$	CREDIT SCORE: (AVERAGE)

PROPERTY INCOME & EXPENSES
GROSS ANNUAL INCOME*:	$	OTHER INCOME:	$
TOTAL INCOME*:	$
REAL ESTATE TAXES:	$	INSURANCE:	$
MANAGEMENT EXPENSES:	$	UTILITIES:	$
RESERVES FOR REPLACEMENTS:	$	REPAIRS:	$
OTHER OPERATING EXPENSES:	$
TOTAL EXPENSES*:	$
ESTIMATED NET INCOME*: *Total Income - Total Expenses	$
TO BE FILLED OUT BY A VISIONQWEST AGENT
VQ CallCenter Agent  Agent Name  Client Code