Who is your loan officer?

Borrower Full Name *

Co-borrower full name if applicable

Please fill in your home address below.

Address

Borrower's Home Address

City

State

Country

Postal code

Borrower Social Security Number *

Borrower Date of Birth

Email *

Phone *

Loan Amount Requested *

Purpose of the loan *

Guarantees (of leader or parent organization) *

Collateral *

Do you currently own a facility? *

Yes

No

Facility Value

Facility Square Footage

Date facility was acquired

Facility cost

Debt currently owed on facility

Monthly payment on facility

Lender for facility loan

Collateral for facility loan

Is this a real estate secured loan you are seeking?

Yes

No

Purchase of real estate or construction of real estate?

Purchase

Construction

Sale price of purchase

Subject Property Address

Street Address
City/Town
State
Zip Code

Down payment

Square footage of entire building

How many parking spaces are there?

Square footage of building

Number of stories

Is there a basement?

How many acres do you own?

When was the land aquired?

Do you owe money on land purchase?

Yes

No

What is the monthly payment?

What is the total cost of construction/improvements?

Please list a description, the year completed, and the cost of any prior completed construction projects by the organization:

Please describe any other aspects of your request not previously described, including Source of down payment, cash reserves, total project cost, project manager.

Congregation

Congregation date established

Incorporation

Legal structure

Denomination affiliation

Briefly describe any other significant events over the past ten years including church history, denomination affiliation, change of leader/pastors, congregation splits, or affiliation changes.

Estimated age of members:

0-13 years old

13-21 years old

21-35 years old

36-65 years old

Over 65 years old

Discuss any relevant information about the members occupations/income levels:

Present seating capacity

How many services held/which days?

How long have you been at the present location?

Total membership

Last year
Year prior to that
Year prior to that
Year prior to that

Average attendance

Last year
Year prior to that
Year prior to that
Year prior to that

Giving Units: (family and /or single adults)

Last year
Year prior to that
Year prior to that
Year prior to that

Average amount donated

Last year
Year prior to that
Year prior to that
Year prior to that

Current main banking relationship?

Why do members prefer your organization over others and over others of the same denomination? Be specific:

Lay Official/Structure

Please list all Trustee Board Members (finances) name, occupation, and years in office

Please list all Secretary's name, occupation, years in office

Please name Deacon Board Members (spiritual) name, occupation, years in office

Are elections held or when do the trustees and deacon terms expire?

Clergy (upload resumes for each)

Please list last 3 pastors name, years at church, age, phone number

Please all Assistants name, years at church, age, phone number

Describe any significant changes in leadership over the last ten years or since inception

Will the leader/ pastor stay or is he/she subject to transfer?

Fundraising

Fundraising program in place, if so describe the program:

Any prior programs held and was it successful?

Responsible parties/contacts for the organization

Please list all responsible parties/contacts for the organization by title, name, address, and phone number

Please list out your construction budget or upload below. Please provide item, if it was paid yet or not, and the total cost.

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