EmailMeForm
LOANS AGAINST DIAMONDS OR GOLD
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"SEE ATTACHED" IS NOT AN ACCEPTABLE ANSWER. ALL FIELDS MUST BE COMPLETE.
Submissions that state “See Attached” or have missing information will be considered incomplete and applicant will be required to re-submit the form.
Enter all amounts in $USD.
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)
