CLX Online Application

The below information is required to be completed for someone looking to become a potential client of Commercial Lending X (“CLX”). This information will remain confidential.

Primary Contact Name:

First Name

Last Name

Email:

Phone:

(###)

###

####

Primary Contact Method:

Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Principal Name or Entity on Loan:

Co-Borrower(s):

Guarantor(s):

Loan Amount:

Purpose of Loan Request:

Collateral Value:

Collateral Description / Address:

Loan Type:

Loan Type (other):

Cash Out

If yes, amount desired:

Current Lender:

Current Loan Balance:

Current Loan Rate:

Current Loan Maturity Date:

Current Loan in Default:

Real Estate Loans - Is the Property Owner-Occupied:

Year Acquired:

Purchase Price:

Current Estimated Value:

Square Footage of Building:

Number of Units / Tenants:

Borrower Occupation:

Borrower Year Started:

Borrower Current Employer:

Co-Borrower Occupation:

Co-Borrower Year Started:

Co-Borrower Current Employer:

If Self-Employed, Type of Business Owned:

Year Business Founded / Acquired:

Description of Business & Product(s) / Service(s) Offered:

Desired Interest Rate:

Desired Term:

Desired Amortization:

Has the Borrower filed bankruptcy in the last 7 years:

Has the Co-Borrower filed bankruptcy in the last 7 years:

Borrower Credit Score (or estimated score):

Co-Borrower Credit Score (or estimated score):

Additional information pertinent for CLX to be aware of with regard to your loan request:

How did you hear about CLX:

Referred By:

“By submitting this form you are agreeing that you want one of CLX’s lenders to contact you. This application is purely for information purposes only and all information contained in this application will be held in the strictest of confidence. CLX will utilize this information to understand the basics of your loan request, and will then have the appropriate lender from our office contact you to discuss this request in more detail. In order to fully apply for a loan, additional financial information will be needed based on the type of request as detailed above. However, depending on each individual request, less or more information may be required. The lender that contacts you will be able to tell you what is needed based on your specific loan request.”