Please take your time in filling this form out completely and accurately. Your cooperation in this process aids Hanson Capital in our ability to facilitate the most timely approval on your behalf.

General Loan Information

1st Borrower

2nd Borrower

Property Information

Payoff Information
1st Pay Off

2nd Payoff

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The information set forth above is true and correct and is provided to Hanson Capital LLC for the purpose of obtaining or maintaining credit or other financial accommodations. The undersigned acknowledge and understand that HCG are relying on the information provided to make a credit decision. Each of the undersigned represents, warrants and certifies that the information provided herein is true, correct and complete.


Any willful misrepresentation could result in a violation of FEDERAL LAW.
Each of the undersigned agrees to notify HCG immediately and in writing of any material change in any of the information contained in this statement.
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