Commercial/Multifamily Loan Expr

Commercial/Multifamily Loan Expression of Interest
Submit this form on-line, or print it, complete it, and fax it to (973) 473-3638.

Applicant's Name

Applicant's Address

Apt. No. or
P.O. Box

Street Address

City

State

Zip

Telephone No.

Fax No.

Property Address

Street Address

City

State

Zip

Nearest Cross Street

Type and Mortgage Term

Mortgage Amount $

Property Description

Type of Property

Type of Contruction

No. of stories

Age of Building

Square Footage

Lot Size

Financial Details

Purchase Price/ Estimated Value $

Present Owner

Monthly Rent Income $

Other income from property $

Lease or month-to-month?

If lease, gross or net?

Estimated or Actual Monthly Expenses:

Real Estate Taxes $

Hazard Insurance $

Heat/Fuel $

Utilities $

Maintenance $

Management $

Reserve for Replacement $

TOTAL $

Notes

Fill out any other information you think would be helpful in evaluating this loan request.

Environmental Checklist

Please check yes or no as applicable to the property that will secure the mortgage for which you are applying.

1. Yes

Has the site been previously used for commercial or industrial purposes?

2. Yes

Are there areas where green plants refuse to grow?

3. Yes

Are there or have there been underground storage tanks on the site?

4. Yes

Is there a landfill on the property?

5. Yes

Has the property ever been used for waste disposal treatment or storage?

6. Yes

Are there any distinctive chemical odors at the site?

7. Yes

Are there any signs of stains or seepage on the site?

8. Yes

Is there any existing chemical contamination of the property, inside or outside the building?

9. Yes

If there are any underground storage tanks on the property, are they or have they been used for storage of petroleum products?

10. Yes

Is the facility in compliance with all applicable environmental laws and regulations?

11. Yes

Is the Industrial Sites Recovery Act (ISRA) applicable to this site?

12. Yes

Are there any specially controlled substances (e.g., asbestos, PCBs) which may be on site?

13. Yes

Is the site or the operations under any enforcement activity?

14. Yes

Is asbestos used to insulate any of the pipes or heating apparatus in the building?

Submit this form on-line, or print it, complete it, and fax it to (973) 473-3638.
You will be contacted within 1 business day.

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