Get Started Step 1 of 4 25% We strive to be innovative in our process in order to help you get to where you need to be quickly. The information collected here will enable us to have a productive conversation with you. Please take five minutes to complete this form, and a Piermont Relationship Manager will get back to you in the next business day. Name* First Last TitleCompany Name*Company WebsiteAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone*When is the best time to reach you?Where did you hear about us?*How can we help you today?*Please select oneCommercial Real EstateCommercial LoanBanking ServicesAll information collected here, including your phone and email, will be used solely by Piermont Bank. For more information, please see our Privacy Notice Commercial Real EstateTell us where the property is:Property Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code BlockLotBlock & Lot InfoIf in New York, use below link and select address to find block and lot.NYC Gov Tax MapTell us about the property:Property Use/Type:*(Ex: Residential, Retail, Office, Industrial, Mixed-Use)Property Square Footage*Number of Units per type*(Ex: 10 Residential, 2 Retail)We would like to get some financial information on the property:Estimated Property Value:*Total Revenue:Net Operating Income:*Is the property stabilized?* Yes No If stabilized, can you provide a Rent Roll?* Yes No If not, can you provide pro forma projections?* Yes No COMMERCIAL LOANTell us a bit about the business: Type of Business:*Year in Business:*Current Revenue*Net Profit Last Year:*Current Bank:*Do you have a lending relationship with your current bank?* Yes No What is the loan amount?How much financing are you seeking?*We would like to know if you or the business owns any property. Yes No Property Address:Estimated Property Value:Existing Mortgage Amount:Please put “0” if no mortgage. BANKING SERVICESAre you interested in a personal or business relationship?*Please select onePersonalBusinessType of Business:*Average Monthly Transaction Volume:*Annual Revenue:*Average Monthly Balance:*Any specific product you are looking for?*