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