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Loan Application Form

Please provide the following information and I will provide you an estimation of loan terms. If you have any questions or concerns, please contact us at loans@levinecapital.com.

Who Referred You to Levine Capital


Loan Program


Property Information


Borrower / Guarantor Information


Entity Information


Signature Authorization


I hereby authorize Loan Aggregator/Levine Capital, the lender, to conduct the following investigations:

1. A consumer credit report and verify other credit information, including past and present mortgage and landlord references: 

2. A background investigation report and verify both criminal and civil records. It is understood that a copy of this form will also serves as authorization by me allowing the lender to conduct these checks. 

Credit and Background investigation will be handled by: CIC Credit 327 Caldwell Drive, Suite 100 Goodlettsville, TN 37072 Phone: (615) 386-2282 

The Borrower (or Co-Borrowers) – each of the undersigned – represents to Loan Aggregator, LLC (Loan Aggregatorr) and Levine Capital and to their actual or potential agents, brokers, processors, attorneys, insurers, servicers, successors and assigns and agrees and acknowledges that: (1) neither Loan Aggregator, LLC or Levine Capital's nor its agents, brokers, insurers, servicers, successors or assigns has made any representation or warranty, express or implied, to me regarding the property or the condition or value of the property (2) the loan requested pursuant to this application (the “Loan”) will be secured by a mortgage or deed of trust on the property or properties described in this application; (3) the property will not be used for any illegal or prohibited purpose or use; (4) all statements made in this application are made for the purpose of obtaining a commercial mortgage loan; (5) the property will be occupied or not occupied as indicated in this application; (6) Loan Aggregator, LLC and Levine Capital's its servicers, successors or assigns are given my (our) consent to retain the original and/or an electronic record of this application, whether or not the Loan is approved; (7) Loan Aggregator, LLC and Levine Capital's and its agents, brokers, insurers, servicers, successors, and assigns may continuously rely on the information contained in the application, and I am obligated to and agree to amend and/or supplement the information provided in this application if any of the material facts that I have represented herein should change prior to closing of the Loan; (8) I understand and acknowledge that, in the event that my payments on the Loan become delinquent, Loan Aggregator, LLC and Levine Capital, its servicers, successors or assigns may, in addition to any other rights and remedies that it may have relating to such delinquency, report my name and account information to one or more consumer reporting agencies; (9) I understand and acknowledge that ownership of the Loan and/or administration or servicing of the Loan account may be transferred with such notice as may be required by law; (10) my transmission of this application as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or my facsimile transmission of this application containing a facsimile of my signature, shall be as effective, enforceable and valid as if a paper version of this application were delivered containing my original written signature pursuant to applicable law; and (11) I further represent, covenant, and warrant that the information provided in this application is true and correct as of the date set forth opposite my signature and that any intentional or negligent misrepresentation of the information in this application may result in civil liability, including monetary damages, to any person who may suffer any loss due to reliance upon any misrepresentation that I have made on this application. The Sponsor (or Co-Sponsors) – each of the undersigned – acknowledges and agrees that Loan Aggregator, LLC and Levine Capital may assign, transfer or hypothecate this Loan opportunity to another lender or funding source and to that end, share the information in this application with other lenders and investors in furtherance of closing the requested Loan. Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may verify or re-verify any information contained in this application or obtain any information or data relating to the Loan, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency.