YORK CITY CAPITAL CORP

H A R D M O N E Y M A D E E A S Y
Mortgage Loan Application No. Address of Property Name, Address of Record Owner:

1) Purchase Price and date of Purchase: $ 2) No. of Apts/Stores: Amount of mortgage loan requested: Purpose of Loan: $

3) Appraisal Value and date, if any: $ 4) Fair Market Value: $

Income & Expense Statement Annual Rental Income Apartments Stores Office Parking TOTAL ANNUAL RENTAL INCOME: Other Income (explain) Total $ $ $ $ $ $ $

Annual Expenses $ $ $ $ $ $ $ $ $ $ $

Real Estate Taxes Sewer & Water Fuel Oil Electric & Gas Insurance Repairs & Maintenance Replacements Management Fee Legal & Audit Misc. Expenses: Total

Name & Address of First Mortgage, if any: Principal Balance of 1st Mortgage as of Date: Name & Tel.# of Mortgage Broker & Person in Charge: Note: Attach any other pertinent information to consider. The undersigned represents and warrants that the within information and representations are true and correct and knows that YORK CITY CAPITAL CORP. is relying thereon in acting upon this application for a mortgage loan. Date: Applicant: By: Title: $