COMMERCIAL REAL ESTATE LOAN APPLICATION

TELL US ABOUT YOU

Please Select One

TELL US ABOUT APPLICANT -  BORROWER

Your Name
Applicant/Borrower Company Name
Your Position/Title With Company
City and State
Name of Owner or CEO
E-Mail Address
Telephone
Facsimile
Type of Ownership
How Long In Business?
Date of Incorporation
State of Incorporation
Is Your Company Public or Private? Public Private
If Public, Please Enter Symbol
Type of Business
Company Website Address (If Any)
Do You Personally or Your Business Have Any Credit Problems? NoYes

If Yes, Please Explain
Has Your Company Been Profitable For The Last 3 Years? Yes No

If No, Please Explain
Any Lawsuits or Litigation Pending Against Borrower or Property? No Yes If Yes, Please Explain

ABOUT YOUR REQUEST

Applying For:

Amount Requested
Use of Funds
Desired Terms

If For Corporate, Internet, Consulting Services or Other, Please Describe Below:

ABOUT THE COLLATERAL - PROPERTY

Type of Collateral
 Value Of Collateral

Describe Other or Additional Collateral Here 

REAL ESTATE FINANCE

Type of Real Estate

Property Address
Age of Property
Type of Construction
Land Size
Number of Buildings
Number of Stories
Number of Units
Total Square Footage
Number of Tenants
Vacancy %
Amenities
Average Daily Rate (ADR)
Any Other Relevant Information

If Refinance

Purpose of Refinance
Date Property Purchased
Purchased Price
Existing Liens:
Original Down Payment:
Source of Down Payment
Date & Value of Last Appraisal, If any
What is the Current Market Value?
Any Other Relevant Information

If Acquisition

Sales Price
Down Payment
Source of Down Payment
Any Other Relevant Information

If New Construction

Project Name
Total Project Cost
Your Equity Capital
Source of Equity Capital
Any Other Relevant Information

YTD & LAST THREE 3 YEARS INCOME & EXPENSE (EBITDA) OF THE BUSINESS OR INCOME PROPERTY

SALES COST OF SALES EXPENSES NET OPERATING INCOME (NOI)
YTD

2008 
2007 
2006

MOST RECENT BALANCE SHEET (Not more than 60 days old)

Total Assets
Total Liabilities
Net Worth
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 or its assigns with its initial consideration process, and in no way implies a commitment or obligation on our part 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.