Loan Submission Form

Are You A Broker Or A Borrower ? *

Are You Working With An Insignia Capital Team Member ?

Broker First Name : *

Broker Last Name : *

Broker Email : *

Broker Cell Phone : *

Broker Company : *

Borrower Information

First Name :

Last Name :

Email :

Cell Phone :

Mid-FICO Score : *

Value of Cash, Retirement, & Liquid Investment Accounts : *

Guarantor First Name :

Guarantor Last Name :

Any Late Payments, Foreclosures, or Short Sales in Last 2 Years? *

Development Experience

Number Of Properties Sold In The Last 36-Months : *

Number Of Ground-Ups Completed In The Last 36-Months : *

Number Of Rehabs Completed In The Last 36-Months : *

Number Of Investment Properties Currently Owned : *

Number Of Investment Properties Purchased In The Last 36-Months : *

Subject Property & Loan Information

Property Street Address :

Street Address Continued :

City :

Property State : *

Zip Code :

Loan Purpose : *

Loan Type : *

Loan Term : *

Property Type : *

Desired Loan Amount : *

Purchase Price : *

Current Value : *

Existing Loan Amount : *

Property After-Repair-Value : *

Construction Budget : *

Vesting Type :

Please Describe Your Primary Objective On This Loan Scenario (e.g. Quick Closing, Lowest Rate, Highest Leverage, Pre-payment Penalty, Loan Duration, Etc.) :

We Would Appreciate Any Additional Insights Regarding Your Loan Request Or The Loan Story :

Contact Information of our Team Members

Noah Furie

D: 424-600-7199
M: 310-498-5454

Email Noah

Todd Harris

M: 310-600-7188

Email Todd

Michael Nassirzadeh

D: 424-999-8407

Email Michael

Damon Germanides

D: 424-488-3551
M: 310-650-0305

Email Damon

Neil Patel

D: 424-488-3566

Email Neil

Patrick Mckenna

D: 310-869-9014

Email Patrick

Construction & Mid-Construction

Ground Up & Mid Construction

Fix & Flip & Bridge Form

Direct SFR Fix & Flip or Bridge

Request a Quote

Please fill out the information below and we will get back to you asap with a quote.

Step 1 of 2

Which product would you like a quote for? *

Fix and Flip
Bridge Loan

First Name *

Last Name *

Email Address: *

Phone Number: *

Message

Multi-Family & Commercial

Multifamily & Commercial Bridge

Request a Quote

Please fill out the information below and we will get back to you asap with a quote.

Step 1 of 2

Which product would you like a quote for? *

Multi-Family
Commercial

First Name: *

Last Name: *

Email: *

Phone Number: *

Message

Request form

Loan Submission Form

Borrower Information

Development Experience

Subject Property & Loan Information

Ground Up & Mid Construction

Request a Quote

Step 1 of 2

Request a Quote

Step 2 of 2

Direct SFR Fix & Flip or Bridge

Request a Quote

Step 1 of 2

Request a Quote

Step 2 of 2

Multifamily & Commercial Bridge

Request a Quote

Step 1 of 2

Request a Quote

Step 2 of 2

Request a Quote

Step 1 of 2

Request a Quote

Step 2 of 2