Home Mortgages

Commercial Loans

Financial Services

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Leland Financial Services, Inc.

Your Full Service Mortgage Company

Commercial Loan Request Form

Borrower   SS#
Spouse   SS#
Home #     Work #      Ext
City    State     Zip

Property & Debt Information

Estimated Current Market Value of Home
Estimated Mortgage Balance on 1st   2nd
Estimated Monthly Payment on 1st   2nd
Current Mortgage Rate on 1st %    
Current Mortgage Rate on 2nd %    

Prospect Requests

Borrowers Objective
Type of Loan
Cash Amount Requested
     If Other, please specify
What do you want the money for?

Optional Additional Questions (OAQ's)

How do you rate your credit?   
Have you ever filed for bankrupcy?        If yes, when?



fatpat Software · PO Box 1785 · Charlottesville, VA 22902 · (804) 977-1652