GOLDSMITH EQUITY GROUP LLC / GUS A GOLDSMITH / TG CAPITAL LENDING LLC / EOS LOANS LLC / CSTORE INC dba HardMoney Company. GOLDSMITH EQUITY GROUP, LLC NMLS #1475189. Jerry Bouchard NMLS #349212.

LOAN / REHAB INFORMATION

Loan Amount

Purpose of Loan

Property Type

* Property Street Address

* City

* State

* Zip Code

Date of Application

Purchase Price

Estimated Renovation Budget

Estimated After Repair Value

PLEASE TELL US ABOUT YOURSELF / BORROWER

* First Name

* Middle

* Last Name

* Contact Phone #

* Social Security Number

* Marital Status

* Date of Birth

* Email address

Co-Borrower First Name

Co-Borrower Middle

Co-Borrower Last Name

Co-Borrower Former Last Name

Co-Borrower Social Security Number

Co-Borrower Date of Birth

Co-Borrower Email address

You must have a LLC or Corporation to be approved for a loan with us. If these are not finalized they may be provided or changed later in the loan process by calling or emailing our offices.

Company Name

EIN #

Company City

TELL US ABOUT WHERE YOU LIVE

* Borrower Current Street Address

* Borrower City

* Borrower State

* Borrower Zip Code

Co-Borrower Current Street Address

Co-Borrower City

Co-Borrower State

Co-Borrower Zip Code

* Borrower Housing Situation

* Borrower Mortgage / Rental Monthly Amount

Borrower Purchase Price / Rental Rate

Borrower Purchase or Move-in Date

Borrower Present Value

Borrower Mortgage Holder / Landlord Name

Borrower Holder / Landlord Phone

Co-Borrower Housing Situation

Co-Borrower Mortgage / Rental Monthly Amount

Co-Borrower Purchase Price / Rental Rate

Co-Borrower Purchase or Move-in Date

Co-Borrower Present Value

Co-Borrower Mortgage Holder / Landlord Name

Co-Borrower Holder / Landlord Phone

* HOW LONG HAVE YOU LIVED IN YOUR CURRENT ADDRESS?

Previous Street Address

City

State

Zip Code

How long since you lived here?

Previous Mortgage Holder / Landlord

Previous Holder / Landlord Phone

YOUR WORK HISTORY AND INCOME

* Employer Name

* Profession / Job Title

* Average Monthly Income

Co-signer/Spouse Average Monthly Income

Co-signer/Spouse Employer

Co-signer/Spouse Profession

YOUR ASSETS

Checking Account Balance

IS/HAS APPLICANT OR CO-SIGNER

* Filed for Bankruptcy Protection within the past 7 years?

* If yes, please explain

* A co-maker or Guarantor on a Note?

* If yes, please explain

* Been a Defendant in a Foreclosure?

* If yes, please explain

* Been a Defendant in a Lawsuit?

* If yes, please explain

* Is a Foreign National?

* If yes, please explain

LIST 3 CLOSE RELATIVES OR FRIENDS THAT DO NOT LIVE WITH YOU; DO NOT LIST EMPLOYER

* Name	* Phone	* Relationship

ATTACHMENTS

Once you have submitted your application you will be provided with a link to create an account where you may review the status of your application and upload required documents. Please log in as soon as possible and provide photos of 2 forms of government ID and proof of income (pay stub or other). Thank you!

ACKNOWLEDGEMENT & AGREEMENT

* "I attest that the above information has been carefully reviewed and is true and correct; I authorize Gus Goldsmith / Goldsmith Equity / GP Enterprises / Cstore Inc dba HardMoney Company to verify any information through any source including use of credit reporting agencies, background check, county court records, etc.

By signing this application, I am giving you permission to be contacted with promotional offers. If I do not wish to be contacted, I can opt-out by contacting you at any time."

* Signature (Type Your Name)

Co-Signer Signature (Type Your Name)

* Date

Note: All questions marked with a red star (*) are required in order to complete the application. Questions that are not marked will eventually require answers to complete your loan, however you will receive a Loan Estimate if you only submit the required fields.

Florida Form

All Other State Form

LOAN / REHAB INFORMATION

PLEASE TELL US ABOUT YOURSELF / BORROWER

TELL US ABOUT YOUR LLC OR CORPORATION

TELL US ABOUT YOUR LLC OR CORPORATION (IF APPLICABLE)

TELL US ABOUT WHERE YOU LIVE

* HOW LONG HAVE YOU LIVED IN YOUR CURRENT ADDRESS?

YOUR WORK HISTORY AND INCOME

YOUR ASSETS

IS/HAS APPLICANT OR CO-SIGNER

LIST 3 CLOSE RELATIVES OR FRIENDS THAT DO NOT LIVE WITH YOU; DO NOT LIST EMPLOYER

ATTACHMENTS

ACKNOWLEDGEMENT & AGREEMENT