B12 Form Test

This page tests the native B12 form in isolation. No React complexity, just a direct form submission.

Loan Type *

Property Type *

Occupancy Status *

Property Address *

State *

Estimated Property Value *

Purchase Price

Property Condition *

Loan Amount Requested *

Desired LTV (%) *

Loan Purpose *

Timeline to Close *

Estimated Credit Score *

Borrower Type *

Exit Strategy *

Additional Context / Deal Notes

First Name *

Last Name *

Email Address *

Phone Number *

Your Role

Company / Entity Name

Preferred Contact Method

Testing Notes: