Primary Borrower

Employment

Declarations

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Co-Borrower

Employment

Declarations

Subject Property Info

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Loan Request Info

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Borrower/Signor Financials

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Non-Owner Occupancy Disclosure

I (“Borrower”) certify and represent to Lender (“Originator”) as follows:

  • I hereby declare that I have no intention of making the Property (Subject Property listed in my Loan Application) my principal residence.
  • Additionally, I declare that I have no intention of utilizing the Property as a second home and or any surviving spouse or family member shall live in the Property. I understand that this loan is a business purpose loan.
  • Borrower understands and represents they understand the difference between a consumer loan for personal purposes and a commercial loan for business purposes. Borrower represents that this loan is not a consumer loan and therefore is not subject to any laws relating to consumer loans under any state or federal laws.
  • I realize the lender, broker, assignees and successors rely upon this information. I declare under penalty of perjury the foregoing is true and correct.

Authorization to conduct credit and background check

By signing this form, I/we hereby authorize lender to conduct a background and/or credit check. Additionally, the undersigned and each party to this loan, authorizes lender to disclose to any third party, employee, agent or assignee thereof information regarding background and credit experience.

  • I understand that it is a federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements when applying for this mortgage, as applicable under the provisions of title 18, United States code, 1014.
  • I also understand that the lender intends to use the data obtained through the investigation for due diligence purposes only, and shall not disclose such information to any other party except as otherwise authorized above.

Borrower Certification

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Civic Financial is an Equal Housing Lender

© 2017 Civic Financial All Rights Reserved. Located in Redondo Beach, California, Civic Financial Services LLC is a leading private money lending provider servicing the greater Los Angeles, Dallas, Phoenix, Seattle, Portland, Denver, Miami, South Beach, Tampa, Sarasota, San Diego, San Francisco, Irvine, Las Vegas, San Jose, Riverside, San Bernardino and surrounding communities. Civic specializes in short term, non-owner occupied and investment properties financing utilizing private hard money and bridge loans.

All loans are made in compliance with Federal, State, and Local laws. Civic Financial Services, LLC is a California Finance Lender under NMLS 1099109 and DBO License #603L321, AZ Mortgage Broker License #092863, CO Mortgage Company Registration, ID Mortgage Broker/Lender License #MBL-8288, FL Mortgage Lender Servicer License #MLD1536, NV Mortgage License MB4419, NV Broker License #4443, NV NMLS ID #1410002, OR Mortgage Lending License #ML-5282, TN Mortgage License #136082, UT DRE Mortgage Entity License #10570639, WA Consumer Loan Company License #CL-1099109. Civic Financial Services, LLC is an equal opportunity lender. Powered by Lenderd.com - Mortgage Website Automation

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Contact Dara Keo (424) 336-7969