(1) Contact Information

First Name *

Last Name *

Company *

Title *

Email *

Mobile or Phone 1 *

Mobile or Phone 2

Fax

Street *

City *

State/Province *

Zip *

Country *
United StatesAndorraUnited Arab EmiratesAfghanistanAntigua and BarbudaAnguillaAlbaniaArmeniaAngolaAntarcticaArgentinaAustriaAustraliaArubaAland IslandsAzerbaijanBosnia and HerzegovinaBarbadosBangladeshBelgiumBurkina FasoBulgariaBahrainBurundiBeninSaint BarthélemyBermudaBrunei DarussalamBolivia, Plurinational State ofBonaire, Sint Eustatius and SabaBrazilBahamasBhutanBouvet IslandBotswanaBelarusBelizeCanadaCocos (Keeling) IslandsCongo, the Democratic Republic of theCentral African RepublicCongoSwitzerlandCote d’IvoireCook IslandsChileCameroonChinaColombiaCosta RicaCubaCape VerdeCuraçaoChristmas IslandCyprusCzech RepublicGermanyDjiboutiDenmarkDominicaDominican RepublicAlgeriaEcuadorEstoniaEgyptWestern SaharaEritreaSpainEthiopiaFinlandFijiFalkland Islands (Malvinas)Faroe IslandsFranceGabonUnited KingdomGrenadaGeorgiaFrench GuianaGuernseyGhanaGibraltarGreenlandGambiaGuineaGuadeloupeEquatorial GuineaGreeceSouth Georgia and the South Sandwich IslandsGuatemalaGuinea-BissauGuyanaHeard Island and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIrelandIsraelIsle of ManIndiaBritish Indian Ocean TerritoryIraqIran, Islamic Republic ofIcelandItalyJerseyJamaicaJordanJapanKenyaKyrgyzstanCambodiaKiribatiComorosSaint Kitts and NevisKorea, Democratic People’s Republic ofKorea, Republic ofKuwaitCayman IslandsKazakhstanLao People’s Democratic RepublicLebanonSaint LuciaLiechtensteinSri LankaLiberiaLesothoLithuaniaLuxembourgLatviaLibyan Arab JamahiriyaMoroccoMonacoMoldova, Republic ofMontenegroSaint Martin (French part)MadagascarMacedonia, the former Yugoslav Republic ofMaliMyanmarMongoliaMacaoMartiniqueMauritaniaMontserratMaltaMauritiusMaldivesMalawiMexicoMalaysiaMozambiqueNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNetherlandsNorwayNepalNauruNiueNew ZealandOmanPanamaPeruFrench PolynesiaPapua New GuineaPhilippinesPakistanPolandSaint Pierre and MiquelonPitcairnPalestinePortugalParaguayQatarReunionRomaniaSerbiaRussian FederationRwandaSaudi ArabiaSolomon IslandsSeychellesSudanSwedenSingaporeSaint Helena, Ascension and Tristan da CunhaSloveniaSvalbard and Jan MayenSlovakiaSierra LeoneSan MarinoSenegalSomaliaSurinameSouth SudanSao Tome and PrincipeEl SalvadorSint Maarten (Dutch part)Syrian Arab RepublicSwazilandTurks and Caicos IslandsChadFrench Southern TerritoriesTogoThailandTajikistanTokelauTimor-LesteTurkmenistanTunisiaTongaTurkeyTrinidad and TobagoTuvaluTaiwanTanzania, United Republic ofUkraineUgandaUruguayUzbekistanHoly See (Vatican City State)Saint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVietnamVanuatuWallis and FutunaSamoaYemenMayotteSouth AfricaZambiaZimbabwe

Website

(2) Preferred Correspondence Address, Select One *

Please select preferred correspondence address.BusinesseMail

(3) Alternate Contact (If different from you.)

(4) YOUR PRIMARY CONSULTANT *

Were you referred to International Partners by one of our Consultants?

Aaron GrantCarol Ann FlintDanielle TuckerDarren ElijahDeisha SmithGadi FatalJake BlockJasmine CardenasJonathan TaylorJoseph MouzonLoretta BerryhillMark KeenerNeil LockhartPreston PinkneyRaygina FoxSander van den BroekSteven Payten IINONE – Please assign my Consultant.

(5) How Did You Hear About Us? *

Please select one or all that apply. You may control-click (Windows) or command-click (Mac) to select more than one.

My ConsultantReferral from an existing International Partners client. (Please provide client name in text box below.)Referral from an International Partners community member or other contact. (Please provide contact information in text box below.)Event hosted by International PartnersNetworking event not hosted by International Partners (Please provide event information in text box below.)Internet/WebsiteSocial Media, LinkedInSocial Media, FacebookSocial Media, OtherConsultant, Not Listed (Please provide name in text box below.)Other (Please explain in text box below.)

Please enter comments from previous question if required.

II. DEBT SOURCE, SIZE & STRUCTURE

(1) Select Type of Lender *

DirectMortgage Broker / Indirect

(2) Primary Loan Size *

Indicate range representing your primary loan size (millions):

$1 – 10$11 – 50$51 – 100$101 – 500$501 and above

(3) Category of Loans Made By % *

Your answers should total 100%

Multifamily

Commercial (Office, Mixed Use, Retail, Industrial, Construction, Bridge / Rehab)

Mezzanine / 2nd Mortgage

Construction

Bridge / Rehab

Other

(4) Loan Types by % *

1st Mortgage

2nd Mortgage / Mezzanine

Construction

Bridge / Rehab

Other

III. MARKETS OF DEBT PLACEMENT

Top 4 Loan Markets in the US by percentage. *