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Project Information
 

Project Type:

Project History/Overview:

Name of Project :
Project Address:
Project Web Site:


Referral Information
 

Name:

Phone:

Email:
Address:


Borrower Financial & Background Information
 

Name of Borrower(s):
(1 per line)

Ownership Interests:

Total cash equity into project:
Summary of current financial statement:
Adjusted gross income for the past three years:
Borrower background information / summary of resume:


Guarantor(s) Financial & Background Information
 

Name of Borrower(s):
(1 per line)

Summary of current financial statement:

Adjusted gross income for the past three years:

Background information / summary of resume:


Financing Information
 

Financing Purpose:

Loan To Value (LTV):

 %LTV

Appraised Value:

Date of Appraisal:

 MM/DD/YYYY

When was the Property Purchased:

 MM/DD/YYYY

Purchase Price:

Requested loan amount:

Requested Terms & Conditions:

Terms and Conditions of Existing or Prior Project Loans:


Please Provide A Description Of Property Or Project
 


Use of proceeds (summary breakdown use of loan proceeds / any comments)
 


Exit Strategy