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PRIVACY POLICY
At Piedmont Capital Lending, we believe that your personal information should be kept personal. We guarantee that we will not share any of your personal information with any other company. While we do store your name and address in our client database, we maintain sole ownership of this information and we will not share, sell or rent your information to third parties.

Borrower Information Co-Borrower Information
Name:
Street Address:
City, State, Zip Code:
Day Phone:
Evening Phone:
E-Mail:
Preferred Contact Method:

Borrower is a:

Gross Annual Income:
Name:
Street Address:
City, State, Zip Code:
Day Phone:
Evening Phone:
E-Mail:
Preferred Contact Method:

Borrower is a:

Gross Annual Income:
Loan and Property Information
Requested Loan Amount:
Property Owner/Owners:
Requested Loan Terms:
Property Address: Street
Loan Type:
City, State, Zip Code:
Property Type:
Parcel ID Number (if no address):
Repayment Source:
Existing Liens on Property:
Estimated Property Value:
If yes, Amount of Existing Liens
Property Purchase Price:
Who Holds the Liens?
Additional Comments
Please provide us with any additional information that you feel is necessary.
P.O. Box 1578  Roswell, GA 30077
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