Applicant
Information
First
Name:
Last
Name:
Address
Street 1:
Address
Street 2:
City:
Zip
Code:
(5 digits)
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Co-Applicant
Information
First
Name:
Last
Name:
Contact
Information
Daytime
Phone:
Evening
Phone:
Email:
Financial
Information
Loan
Purpose:
Purchase
Refinance
Working Capital
Business Acquisition or Expansion
Requested
Loan Amount:
(USD)
Project
Information
Financing
Requested:
Commercial
Loan
Construction
Loan
Acquisition
Loan
Land Loan
Investment
Property Loan
Conduit
Loan
Hotel Loan
Self-Storage
Facility
Hard
Money Loan
Mobile
Home Park Loan
Church
/Synagogue Loan
SBA Loan
Business
Acquisition
Working
Capital
Business
Debt Refinance
Toy
Loans, Boats, Planes, etc.
Loan
Originator
Harlan A. Friedman
Adele Duffy
Park Maguire
Larry Lerner
Christy Bensch
Billy Wigley
Susie Kendall
Robert Goar
Joseph Wahnish
Jim Fitzgerald
Purchase
Price:
(USD)
Appraised
Value:
(USD)
Mortgage
Balance:
(USD if applicable)
Other
Information
I
authorize Lightning
Commercial Funding, Inc. to verify
my credit and employment history.