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Personal and Company information

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Applicant Information
 
First name   Last name
Title
 
Location
 
Company information
Company name
Street address
City
State/Province
Zip/Postal code
Country
 
 
Contact  information
Work phone
Cellular
Home phone
Fax
Email
Website
 
Authorized name signature for financing
 
First name   Last name
Title
Project information (Step 1)

Please fill up all required fields (All star * marked fields are required)



Project name
 
Project address
Street address
City
State/Province
Zip/Postal code
Country
 
Humanitarian / Environmental Impact (if any)
 
Purchase
Yes   No
Borrower name
Amount requested
Who owner of this land?
Land market value
Current land mortgage amount
How much money into project?

(please itemize)
How long to build project?
Collateral
Project information (Step 2)

Please fill up all required fields (All star * marked fields are required)



Do you have ancillary collateral which could be currently be used which is not directly project related? (if yes, please explain) Do you have ancillary Cash flow which could be currently be used which is not directly project related?: (if yes, please explain)
 
Management

(Organization name)
Projected commencement date
Value upon completion:

(after Certificate of Occupancy)

(dollar amount) *required if new construction and/or improvements, otherwise stay zero
12 month operating income history
Projected Gross Income upon completion

(12 month operation, if income producing property)
Not for the same period

(if income producing property)
 
Escrow Deposit
Yes   No

 

If yes, state escrow holder, location and amount
Type of loan
Funding type request
Submitted by
Name of person and company submitting the application
Telephone numbers please include the whole area codes and numbers to call from USA
Work phone
Cellular
Fax
Email
Additional information
Do you have the following documents?

(Answer all questions, otherwise your application will be disregarded)



Executive Summary
Yes   No
Business Plan
Yes   No
Principals Financial Statements
Yes   No
Any outstanding litigation against Firm or Officer
Yes   No
Why are you using our company services instead of your corporate and/or personal banking contacts? Please explain below
If due diligence requires an onsite inspection of properties and/or original documents, are you prepared to pay for this?
Yes   No
Are you prepared to furnish a form of a surety bond if underwriting/due diligence considers one necessary?
Yes   No
Have you submitted this application to another Financial Institutions or Banks?. If yes, please describe and when
 
Financial Projections
Yes   No
Feasibility Study, if no, are you prepared to pay for this service?
Yes   No
Current Appraisal, if no, are you prepared to pay for this service?
Yes   No
Architectural/Engineering Plans
Yes   No
Approval/Permits
Yes   No
Financial Histories of the Principals and the Project
Yes   No
Video
Yes   No
Other documents that are available, please list:
 
 
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