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  • 3620 100th St SW Ste. B Lakewood, WA 98499
  • (253) 336-6764
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  • Services
    • Request Draw
    • Request Payoff
    • Loan Modification Request
  • Products
  • About Us
  • Resources
    • Case Studies
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  • Contact Us
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"*" indicates required fields

Step 1 of 8 – Subject Property Details (If Any)

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Address*
Type of Terms*
Borrower Name*
###-##-####
MM slash DD slash YYYY
If you are purchasing the property as a company or entity
Borrower Address (Primary Residence or Business)*
The subject property address and the borrower address cannot be the same.
Own/Rent?
Do you have a separate mailing address?
Borrower Marital Status*

Borrower Assets

This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-borrowers if their assets and liabilities are sufficiently joined so that the Statement can be meaningfully and fairly presented on a combined basis; otherwise, separate Statements and Schedules are required. If the Co-Borrower section was completed about a non-applicant spouse or other person, this Statement and supporting schedules must be completed by that spouse or other person also.

Borrower Declarations

Are there any outstanding judgments against you?*
Have you been declared bankrupt within the past 7 years?*
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?*
Are you a party to a lawsuit?*
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?*
(This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee. If “Yes,” provide details, including date, name, and address of Lender, FHA or VA case number, if any, and reasons for the action.)
Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?*
Are you obligated to pay alimony, child support, or separate maintenance?*
Is any part of the down payment borrowed?*
Are you a co-maker or endorser on a note?*
Are you a U. S. citizen?*
Are you a permanent resident alien?*
Do you intend to occupy the property as your primary residence?*
We DO NOT offer owner-occupied loans. If you plan on occupying the property your loan will be turned down.
Have you had an ownership interest in a property in the last three years?*
What type of property did you*
How did you hold title to the home-solely by*

Demographic Information Addendum

The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information but are encouraged to do so. You may select one or more designations for “Ethnicity” and one or more designations for “Race.” The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.
Hidden
Borrower
Ethnicity: Check one or more
Ethnicity (Hispanic or Latino)
Print Origin (Ex: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on)
Sex
Race: Check one or more
Race Asian
For example: Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.
Native Hawaiian or Other Pacific Islander
For example: Fijian, Tongan, and so on.
Max. file size: 100 MB.
Please upload a valid driver’s license
Max. file size: 100 MB.
All pages to the statement
Max. file size: 100 MB.
If you do not provide us with an insurance contact one will be provided for you.
Max. file size: 100 MB.
Please download, sign, and upload the W9. Download
Max. file size: 100 MB.
Please download, sign, and upload the Credit Card Authorization. Download
Drop files here or
Max. file size: 100 MB.
    Consent*
    More information may be required for eligibility and completion of a loan. A loan specialist will follow up for personal information and to finalize any finance agreements.

    Credit Information

    We will not pull your credit until you find a property and your appraisal is ready to be ordered.
    Authorization and Release to Obtain Personal Credit Information*
    By signing below, the undersigned hereby authorizes Fidelis Equity and Real Estate Fund A/B, LLC to obtain “consumer reports” and/or “investigative consumer reports” about me from any consumer reporting agency and/or bureaus, including commercial credit agencies or bureaus, that creditor may choose to use and to consider such reports when making any credit decisions regarding my credit application, extension of credit, or with respect to any extension or modification of existing credit. I acknowledge that as an individual there are various Federal and/or State laws such as the “Fair Credit Reporting Act” that control the issuance or use of “consumer reports” and/or “investigative consumer reports” by the creditor. I understand that I am not obligated to provide creditor this authorization to review such “consumer reports” and/or “investigative consumer reports”. However, I have voluntarily agreed that such reports can be released to the creditor so that it will consider my credit application, extension of credit, or with respect to any extension or modification of existing credit.

    The undersigned hereby authorizes Fidelis Equity and Real Estate Fund A, LLC to procure an investigation, or cause an investigation to be procured, for credit evaluation purposes, whether or not subject to the Fair Credit Reporting Act. I authorize, without reservation, any person or entity contracted by the creditor or anyone acting on its behalf, to furnish information regarding verification of my social security number, education, military record, motor vehicle reports, credit history, financial account balance and history, professional licensures, public records, criminal record and/or employment references.

    I hereby release the creditor, including its employees, agents, or representatives from any and all liability for furnishing such information. I also release creditors from any and all liability for conducting such an investigation. A photocopy, scan, or facsimile copy of this Authorization and Release be treated as though it were the original.

    I grant Fidelis Equity Real Estate Fund A/B and its subsidiaries permission to use my image(s) (photographs and/or video) for the following: Brochure(s); Email(s); Magazine(s); Newsletter(s); Publication(s); Video(s); Social Media; and other uses not listed previously. I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image. I am 20 years of age or older and I am competent to contract in my own name. I have read this
    release before signing below, and I fully understand the contents, meaning, and impact of this release. I understand that I am free 10 address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.
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    Demographic Info By

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