Church Loan Questionnaire

This Questionnaire is presented by
http://www.nonprofit-church-loans.org/

Please provide all of the following information.  Fax it to 973-300-5486.
Include your fax number. We will fax back prequalification quotes, rates, fees, terms.

 

NAME OF CHURCH __________________________________

LOCATION __________________________________________

Street Address _________________________________________

City _________________________________________________

Telephone # _________________ Fax # ____________________

State ___________________ Zip Code _____________________

E-Mail Address ________________________________________

LEGAL STATUS:  [  ] Incorporated --  [   ] Unincorporated

Incorporation Date ___________________ State _____________

Tax ID# _____________________________________________

Senior Pastor _________________________________________

Pastors Cell # ____________ Evening Phone # ______________

Average Weekly Attendance:

# Adults _________________   # Children __________________


GROSS PLATE INCOME

Gross Receipts Last Fiscal Year - $__________________

This year we expect to receive in "Plate Income" - $__________________

Daycare, etc. income last year (if any) - $__________________

The debt (if any) on our present properties is $__________________

Present monthly payment is $__________________

Present Interest Rate is _____%

The purpose of this financing request is: ____________________________

Our best estimate of our total real estate value, will be
(including planned improvements, etc.)

Total amount of this Church Financing request is $__________________

We will also require an interim/construction loan  [   ] Yes --  [   ] No

Finance Committee Chairman or Congregation contact person(s):

___________________________________________________________

Day Phone _________________________________________________

Evening Phone ______________________________________________

2004