Puget Sound Investors

Private Funding Source for Real Estate Loans and Investments in Western Washington

Loan Request Form

Personal Information

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Employer/Company

Phone

(###)

###

####

Email

Loan Information

Loan Amount

Property Value

Property Type

Loan Type

Tax Parcel Number

Property Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Timetable for Funding Request

Additional Information