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Entity Name:
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Entity Address:
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Entity City State & Zip:
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Principal Name:
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Principal Address:
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Principal City State & zip:
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Principals Phone #:
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Principals Cell #:
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Principals Email:
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Principals Corporate Title:
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Please check what if any of the folloing are avaliable
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Executive Summary
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Completed Business Plan
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Management Profile/Resume
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Pro forma’s or Contract Agreements
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Financials
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Bank Guarantee or other collateral (Structured Finance Only)
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Expected Breakdown use of funds
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Organizational Chart
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Brief Project Description:
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Additional Collateral Avaliable:
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Type of Project::
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What type of financing is being requested?:
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What is the Loan amount requested?:
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Is all the money needed in the first tranche?:
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How many phases are there?:
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If Real Estate, How many Acres?:
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If Land, is it Entitled or Raw?:
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Is there an appraisal done?:
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If Yes, Value Now?:
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Construction, Projected Value?:
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LTV Sought?:
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Does this project have a pending purchase?:
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Contract Expiry date?:
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What is the Physical Address of the Project:
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Physical Address, CIty St & Zip:
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Amount of Equity Contribution thus far?:
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What was it used for?:
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Are the principals in a strong financial situation?
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Do the principals have financials Avaliable?:
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Principals Fico score?:
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What is the Exit Strategy?:
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What is the desired payback period?:
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Are there any special terms requested?:
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Who else has the borrower applied to?:
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Who else has the borrower applied to?:
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Has the borrower ever been turned down. if so for what reason?:
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