RELIGIOUS ORGANIZATION LOAN APPLICATION Points Requested Do you have an outside fee agreement? Church Contact Person Phone Fax Email Name of Church/Organization Phone Fax Email Address City State Zip Organization s Tax I.D. # Amount of Funds Requested Estimated Cost of Project Type of Loan: Refi ( ) Cash Out ( ) Purchase ( ) Construction ( ) If Purchase: Purchase Price: $ Amount of Down Payment: $ Seller Carry-Back: $ Additional funds to put down: $ Do you have signed contract: Yes / No Expiration Date: Subject Property Address: General Information: Date Organization Formed Date Organization was Incorporated Senior Pastor Since Denomination Independent Seating Capacity of Worship Center Number of Worship Services Do you operate a school? Yes / No Grades Last full year s school Receipts $ Expenses $ Have you had a bond issue in the past? Yes / No Underwriter Is Board of Trustee action or Congregation s approval necessary for this Loan? Yes / No Name of your Bank? Saving $ Checking $ Do you accept Visa or MasterCard? Yes / No What is Average monthly volume: $ Have you been turned down previously: (This info is critical in determining what issues we will have to overcome) By whom and Reason(s): Are you currently working with any lender, consultant or broker on this transaction: Yes / No If yes, who:
Page 2 of 4 (Religious Organization Loan Application) Membership Worship Attendance Sunday School Attendance 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 ( months in 2012) Income/Expenses: 2009 2010 2011 2012 ( months) Non-designated Receipts $ $ $ $ Non-designated Expenses $ $ $ $ Net Income $ $ $ $ Building Fund Income $ $ $ $ Pledge Drive History: Current Pledge Drive Began Term of Pledges is months. Firm Used Next Pledge Drive Planned for (date) Amount Pledged $ Amount Collected (to date) $ Internal Describe Your Request in Detail: (Explain what the money is to be used for) If Purchase: Address of Property: Creditor Information: Total Existing Debt $ Are you current on Payments? Yes / No Reason for being behind on payments: Any Past Defaults? Yes / No If not, number of payments behind:
Page 3 of 4 (Religious Organization Loan Application) Property Information (Please list all properties owned by the Organization) * Address of Property 1: Value of the Property ( As Is Value of Existing Improvements and Land) $ Amount Owed $ Monthly Payment Amount $ Date of Original Purchase Price $ Improvement since Purchase $ Name of Lender Phone Number * Address of Property 2: Value of the Property ( As Is Value of Existing Improvements and Land) $ Amount Owed $ Monthly Payment Amount $ Date of Original Purchase Price $ Improvement since Purchase $ Name of Lender Phone Number * Address of Property 3: Value of the Property ( As Is Value of Existing Improvements and Land) $ Amount Owed $ Monthly Payment Amount $ Date of Original Purchase Price $ Improvement since Purchase $ Name of Lender Phone Number (Please attach a separate Sheet if there are additional properties) Other Creditors (Other than those listed above) 1. Name Outstanding Balance $ Phone Number Monthly Payment $ 2. Name Outstanding Balance $ Phone Number Monthly Payment $
Page 4 of 4 (Religious Organization Loan Application) To initially review your Financing Request we will need the following information: Please insure this information is provided: A Fully Completed Religious Organization Loan Application B. Organization Year-Ending 2011, 2010 & 2009 Financial Statements (Profit & Loss and Balance Sheets) C. Year-to-Date 2012 Financial Statements Organization (no more than 3 months old) D. A brief resume of the Pastor E. A brief history of the Religious Organization Additional items that will be needed if it is determined that the Church meets the basic qualifications: (Please, have these documents ready to send. It is not necessary for these items to be sent initially.) F. Copies of any recent Appraisals. (if available) G. Color Pictures of the Property (inside and outside) H. Copies of the "Articles of Incorporation" & "By Laws". I. The current and prior years' budgets. J. List of Board Members and their occupations. K. If Purchase, Need Copy of the Purchase Contract (if available) L. If Construction or Renovation, A Construction Budget or Contractor Quote (if available) This Application was prepared by: Signature: Name: Company: Date:
CERTIFICATION AND AUTHORIZATION CERTIFICATION The undersigned hereby certify the following: 1. I am / We are seeking to secure Financing. In applying for this Financing, I/We completed an application containing various information and certify that all of the information is true and complete. I/We further hold FUNDINGEDGE harmless of any misrepresentations on the Financing Application and/or other documents. 2. I/We understand and agree that FUNDINGEDGE reserves the right to verify information provided on the application. 3. I/We understand that FUNDINGEDGE is acting as my/our consultant and further acknowledge that all disclosures required by law in regard to the Financing are to be provided by the lender and/or financing entity NOT FUNDINGEDGE. AUTHORIZATION To Whom It May Concern: 1. I am / We are applying for Financing. As part of the application process, FUNDINGEDGE and/or its assigns are authorized to act on my/our behalf in obtaining the Financing. 2. FUNDINGEDGE and/or its assigns may verify information contained in my/our application and in other documents that have been provided in connection with the Financing. I/We authorize you to provide to FUNDINGEDGE, and/or its assigns, information and documentation that they request. Such information includes, but is not limited to, employment history and income; bank and similar accounts; and credit history. 3. A copy and/or faxed copy of this authorization may be accepted as an original. ORGANIZATION NAME Organization Representative Name - Printed Organization Representative - Signature Date
AUTHORIZATION TO OBTAIN CREDIT INFORMATION I / We represent and warrant that the information provided in this credit application is complete, accurate and true. Each individual signing below also requests and authorizes any lenders or funding source which may be utilized (collectively referred to as Lenders ) to obtain information from the references listed above and obtain commercial and/or consumer credit histories that will be ongoing and relate not only to the evaluation of the business credit requested, but also for purposes of reviewing the account, increasing the credit line on the account (if applicable), taking collection action on the account, and for any other legitimate purpose associated with the account as may be needed. A facsimile, electronic or other copy of this signed authorization shall be as valid as the original. ORGANIZATION NAME Organization Representative Name - Printed Organization Representative - Signature Date