Information on Borrower Name: Type of Entity: Corporation  Partnership  Other Address:  City  State  Zip Telephone: Cell phone:  Fax: Email: Information on Primary Principal 1 Name: Address:  City  State  Zip Telephone:  Fax:  Email: Information on Primary Principal 2 Name: Address:  City  State  Zip Telephone:  Fax:  Email: Information on the Property What will the loan be used for?: Will renovation funds be required: Estimated “as is” value:  Estimated completed value: Requested loan amount: Property type: 1-4 Unit rental  Multifamily (5+ units)  Mixed use  Retail  Raw land (commercial)  Raw land (residential)  Office  Office / warehouse  Warehouse  Light industrial  Recreational  Restaurant  Mobile home park  Mini storage  Convenience store / Gas station  Hotel / Motel  Other Condition of property:  Present zoning: City water:  City sewer:  Gas:  Electric:  Property taxes: Special assessment balance:  Current?: Known environmental problems: Annual net rental income:  Annual gross rental income: If Loan is a Refinance - Complete This First Mortgage  Lender:  Amount:  Rate:  Current:  Past due:  Second Mortgage  Lender:  Amount:  Rate:  Current:  Past due:  Third Mortgage  Lender:  Amount:  Rate:  Current:  Past due:  Other debt  Lender:  Amount:  Rate:  Current:  Past due:  Information on Additional Properties Property 1 Type of property: Address:  City  State  Zip Property 2 Type of property: Address:  City  State  Zip Property 3 Type of property: Address:  City  State  Zip

Commercial Mortgage Fund, LLC • 8300 Norman Center Drive, Suite 720 • Bloomington, MN 55437