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Church Finance Application - Short Form

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APPLICATION SUBMITTED BY:

Applying For?
. .
Please Select One
Brokers Please Click Here
Your Name
Company Name
Title
City and State
E-Mail Address
Telephone
Facsimile

TELL US ABOUT THE CHURCH:

Church Name
Church City & State
How Long in Business (Operating)?
Senior Pastor's Name
How Long Senior Pastor With Church?
Contact Person
Your Title
Telephone and Fax
E-Mail
.
ABOUT CREDIT:
.
Do You Personally or Church Have Any Credit Problems? NoYes

If Yes, Please Explain
Any Lawsuits or Litigation Pending or Threaten?
No Yes If Yes, Please Explain
Has Church Been Profitable For The Last 2 Years? Yes No

If No, Please Explain

TYPE OF FINANCING DESIRED:

TYPE OF FINANCING DESIRED: Please Make Selection >>>>>>>> Permanent Refi. New Constr. Renovate Purchase
LOAN AMOUNT
Describe Purpose of Loan
Describe Collateral (1st lien only)
Full Narrative Appraisal >>>>>>> Yes No Pending
If Yes, Appraised Value & Date
Appraisal Designation >>>>>>>>> MAI SRA Other Don't Know
Appraiser Name & Phone Number
If No Appraisal, What is Estimated Value?

CHURCH MEMBERSHIP

YTD  2010 2009 2008

AVERAGE SUNDAY MORNING ATTENDANCE

YTD  2010 2009 2008
YTD & LAST THREE 3 YEARS INCOME & EXPENSE OF THE CHURCH

Fiscal Year Begin Date

Annual Gross Income Operating Expenses Net Operating Income
YTD
2010 
2009 
2008

EXISTING MORTGAGE & OTHER LIENS:

Current Mortgage 
Other Liens
Name of Current Lender(s)
HOW MANY OTHER LENDERS HAVE SEEN THIS DEAL?
HOW DID YOU HEAR ABOUT US? ----------------------------------->

General Comments or If You Have an
Executive Summary, Please Include Here
(You May Cut and Paste)

If we pass on this deal, would you want us to refer you to a another source that might help you place your deal? Yes No
Thank you for your application. Because of the high volume of requests, we will only respond to requests that are accepted for further consideration. By submitting this online form, you understand that you are submitting this information for the sole purpose of assisting our corporate financial group division ("CFG") or its assigns with its initial consideration process, and in no way implies a commitment or obligation on the part of CFG or its assigns to consider your request or provide any financing or service. No oral representations made. You represent that the information provided on and with this form is true and correct, and that you are authorized to submit this form on behalf of the Borrower/ Applicant. Again, thank you, and we hope to be of service to you and your business.

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