Loan Application

Contact Information
Fields marked with * are required.
* Contact Person:  
* Email:  
     
Name of Borrower:
Type of Borrower:  
When organized/ incorporated :  
Address:  
City:  
State:  
ZIP:  
Phone:  
Tax ID :  
Phone:  
 
Loan Information
     
Amount of
Loan Request:
$
Type of Loan:  
Purchase Price or Construction Cost: $
Down Payment: $
Term/Amortization Desired:  
Cash On Hand: $
Guarantor, Seller Financing:  
 
Property Description
 
Exit Strategy:    
 
Project Structure/ Collateral Values
     
Land & Improvements: $
Owners Equity: $
Construction Cost: $
Seller Debt: $
Machinery/Equipage: $
Inventory: $
Working Capital: $
Other: $
Existing Debts: $
     
Borrower/Guarantor Financial Statement
     
Cash/Liquid Investments: $
Real Estate Owned: $
Other Assets: $
Existing Installment Debt: $
Credit Cards Outstanding: $
Existing Mortgages: $
Other Liabilities: $
Borrowers Income/Revenues: $
Borrower Ebitdar Cash Flow: $
Total Debt & Lease Payments: $