Company Affiliation
Contact us today to find out how your business or healthcare practice can succeed financially with Fortune Financial Services, LLC.
Fortune Financial Services, LLC
1012 Lake Walk Drive
Antioch, TN 37013
Office:
615.641.6063
Facsimile:
615.641.6064
E-Mail:
info@fortunefinancialservicesllc.com
Please fill out the fields below to complete Fortune Financial Services, LLC confidential Service Request Form.
Property Name:
Property City & State:
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Loan Amount: *$
Approximate Loan to Value (LTV):
Available Down Payment: *
Property Type: *
-Select one-
Agricultural or Ranch Property
Apt Building/Multifamily Dwelling
Assisted Living Facility
Auto Dealership/Used Car Lot
Auto Repair
Bed and Breakfast Inn
Bowling Alley
Casino
Church
Commercial or Retail Building
Congregate Care Facility
Convalescent Hospital
Co operative
Duplex,Triplex or Fourplex
Gas Station
Gentlemen's Club
Golf Course
Hotel and Motel
Industrial Building
Industrial Condo
Land
Marina
Mixed Use Property
Mobile Home Park
Movie Theatre
Office Building
Office Condo
Parking Garage
Residential Care Home
Residential Condo
Residential Condo Subdivision
Residential Subdivision
Restaurant
Self Storage
Shopping/Strip Centre
Single Family Residence
Skilled Nursing Facility
Special Use Property
Type of Loan:
-Select one-
First Mortgage
Construction Loan
Bridge Loan
Mezzanine Loan - Standing Property (Purchase or Cash Out)
Mezzanine Loan - New Construction or Major Rehab
Second Mortgage
Reason for Loan:
-Select one-
Purchase
Maturing Loan (no cash out)
Maturing Loan (cash out)
Cash-Out Refinance
Rate and Term Refinance (no cash out)
New Construction
Renovate or Expand the Property
Some Renovation and Some Cash Out
Other
Applicant Name: *
Contact Person: *
Approximate Net Worth:
Business Annual Gross Income: *$
Affiliation: *
Principal
Partner
Other
Primary Phone Number: *
Alternate Phone:
Best Time to Call: *
-Select one-
9:00 AM - 12:00 PM (CST)
12:00 PM - 3:00 PM (CST)
3:00 PM - 6:00 PM (CST)
6:00 PM - 9:00 PM (CST)
E-mail Address: *
Provide Any Additional Comments:
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