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5313 Arctic Blvd.
Suite 206
Anchorage, AK 99518

Phone: 907-279-8551
Fax: 907-274-7630
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INVESTMENT RESERVATION APPLICATION

I (We) hereby apply for an Investment Reservation to make (state # of loans) loans of $88,000 each secured by a Herkimer Lake Cozy Home. Each loan will bear interest at 6% interest and will be made in 12 month installments of $440 and 180 monthly installments of $742.59 through collection escrow at First Mortgage, Inc.

I (We) want the loan to be payable to the following:

Full Legal Name:

Or Entity Name:

Mailing Address:

City:

State:

Zip Code:

E-mail:

Phone:

I (We) certify that we have sufficient liquid funds to make the contemplated loan(s). I (We) understand that this Application does not obligate me (us) to make a loan until I (we) receive the full Lender's Investment Package and have completed the Lender's Investment Agreement and made the $5,000 Earnest Money Deposit. Likewise, I (we) understand that this Application does not obligate the Borrowers to borrow. This Application only establishes my (our) right of first refusal to make the contemplated loan(s) if the Borrowers provide me (us) with a full Lender's Investment Package, which I (we) will have seven days to accept.

Signature (type your full name as your signature):

Date:

Signature (type your full name as your signature):

Date:



Mortgages



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