EmailMeForm
LOANS AGAINST DIAMONDS OR GOLD
Enter amounts in USD $ only.
Total Loan Amount Requested:
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Enter amounts in $USD Only
Detailed description of the Precious Metals/Stones. (What kind? How much? What form are they in?)
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What will the funds be used for? (Check all that apply)
Start a New Business
Expand, Improve, or Refinance an Existing Business
Acquire/Purchase an Existing Business
Other (please describe)
Briefly describe how the loan funds will be used. (what kind of business, location, or other use, etc.)
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The borrower is a:
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Business
Individual
Have the precious metals been appraised?
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Yes
No
If appraised, what kind of appraisal?
If appraised, what was the official value?
Additional comments, if any:
OPTIONAL UPLOAD
Appraisal Report
Other
SIGNATURE
Name of person completing the form:
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Email
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Confirm
Phone:
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Person completing the form is:
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Broker
Principal Borrower(s)
Other
REFERRAL
Name who referred you to us (if applicable):
Email of person who referred you to us (if applicable):
ACCOUNT EXECUTIVE
If you were assigned an Account Executive, other than the person who referred you, enter their email address here:
Account Executive Email (if applicable)
