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Pre-qualification form

Apply Now Form

Financing request

Requested Loan Amount

Please enter a number greater than or equal to 75000.

Purpose of Loan:(Required)

Purchase

Refinance

Property infromation

Address(Required)

Street Address City State ZIP Code

Number of units(Required)

Please enter a number greater than or equal to 0.

Will be held in an entity?(Required)

Yes

No

If yes, entity name(Required)

Property Purpose(Required)

Purchase

Refinance

Year acquired

Refinance Cost

Please enter a number greater than or equal to 2500.

Purchase Price(Required)

Please enter a number greater than or equal to 2500.

Does applicant intend to live in the subject property?(Required)

Yes

No

Property Type(Required)

Single Family

1-4 Residential Units

5+ Residential Units

Mixed-Use

Commercial

Other

Improvements:(Required)

Made

To be made

Amount(Required)

Please enter a number greater than or equal to 2500.

Does Co-Applicant intend to live in the subject property for more than 14 days per year?(Required)

Yes

No

Applicant information

Applicant’s Name(Required)

First

Social Security Number(Required)

Phone number(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Marital Status :(Required)

Married

Unmarried

Residency Status :(Required)

US citizen

Permanent resident alien

Non-Permanent resident alien

Primary Residence(Required)

Street Address

Do you want Own or Rent ?(Required)

Own

Rent

Number of years

Please enter a number from 1 to 100.

Co-Applicant

Add Co-Applicant

Co-Applicant’s Name

First

Co-Applicant Social Security Number

Co-Applicant Phone number

Co-Applicant Date of Birth

MM slash DD slash YYYY

Marital Status :

Married

Unmarried

Residency Status :

US citizen

Permanent resident alien

Non-Permanent resident alien

Co-Applicant Primary Residence

Street Address

Co-Applicant Own or Rent

Own

Rent

Co-Applicant Number of years

Employment Information

Employer Name(Required)

Business Address

Street Address

Business Phone

Position / Title / Type of Work

Year on Job

Monthly Income(Required)

Please enter a number greater than or equal to 25000.

Self Employed ?

Self Employed

Self Employed Description(Required)

Additional Employment

Add Additional Employment

Employer Name 2

Business Address 2

Street Address

Business Phone 2

Position / Title / Type of Work 2

Year on Job 2

Monthly Income 2

Please enter a number greater than or equal to 2500.

Self Employed Description 2(Required)

Real estate owned

1. Property

Property Address(Required)

Street Address

Type of property(Required)

2. Property

Property Address 2

Street Address

Type of property 2

Additional Properties

Add Additional Properties

3. Property

Property Address 3

Street Address

Type of property 3

4. Property

Property Address 4

Street Address

Type of property 4

5. Property

Property Address 5

Street Address

Type of property 5

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Do you need fast, reliable private capital? Get in touch with us today.

Chambliss Mortgage Capital is family owned and operated, so you’ll talk directly to the principals who make decisions for the company. Everyone's situation is unique, so take advantage of a complimentary consulting call today if you have a deal you need funding for.

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(504) 270-1314

10555 Lake Forest Blvd STE 5E, New Orleans, LA 70127

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Disclaimers: © 2024 All Rights Reserved by Chambliss Homes, LLC DBA Chambliss Mortgage Capital. Chambliss Mortgage Capital makes loans solely for business purposes only (and not for personal or consumer use) and is exempt from licensing in all states in which it operates. Chambliss Mortgage Capital does not lend on owner-occupied properties, only residential investment and small commercial properties. Listed rates, terms, and conditions are offered only to qualified borrowers, may vary by loan product, deal structure, property state, or other applicable considerations, and are subject to change at any time without notice. No information on this site is intended to, or shall, created a legally binding commitment or obligation on the part of Chambliss Mortgage Capital, and all terms are expressly subject to Chambliss Mortgage Capital's credit, legal, and investment approval.