Nikki Rickard’s Loan Intake form. Complete the form to expedite your financing request. First Name Last Name Email Address Phone Number Property Street Address Property City Property State Property StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWisconsin Property Zip Code Annual Taxes Annual Insurance FICO Score FICO Score760 and above700-759680-699660-679640-659620-639Under 620 LLC/Corporation Name Property Type Property TypeCommercialResidential Residential Property Type Residential Property TypeCondoDuplexPUDSingle Family ResidenceTownhomeTriplexQuadplex Commercial Property Type Commercial Property TypeFlexHealthcareHospitalityIndustrialLandMedical OfficeMixed UseMultifamilyOfficeRetailSenior Housing Transaction Type Transaction TypePurchaseRefinance Original Purchase Price Original Purchase Date Purchase Price Property Value Are You Under Contract? Are You Under Contract?YesNo Loan Amount Requested Commercial Loan Type Requested Commercial Loan Type RequestedAgency LoanBridge LoanCMBSConstruction LoanHard MoneyLong TermRehab Loan Residential Loan Type Requested Residential Loan Type RequestedDSCR LoanFix & FlipFix 2 RentHard Money Loan Rehabilitation Costs Occupancy OccupancyOwner OccupiedNon Owner Occupied Estimated Closing Date Additional details you may want to provide. Submit