Project Funding Summary

1. Name of the company or individual applying for funding and complete mailing address.(Required)

2. Name the company owners and percent of ownership or key management personnel and those being held accountable for repayment.(Required)

3. Provide a short description of the business, what the business does or is proposing to do. Years in business, view of current financial condition of company and who or what caused the company to be in it's current position.(Required)

4. Please indicate the amount of funding you are requesting. Please be aware that asking for too little can cause concern on our part. Ask for what you need, asking for too little is counter productive.(Required)

5. How long have you been actively seeking funding?(Required)

6. Describe the type(s) of funding you are looking for (example Equity. Debt, etc.).(Required)

7. Length of Investment - how long will you need the funds invested?(Required)

8. Please describe what forms of collateral you will be using. If none, how do you propose to minimize the risk to our investors?(Required)

9. How much of your own money do you currently have at risk in association with this project?(Required)

10. Can you provide documentation of personally invested funds?(Required)

11. Are you using property as collateral?(Required)

12. If you plan to use property as collateral, is there a current appraisal no more than 3 months old.(Required)

13. Briefly list your experience and the experience of your management team.(Required)

14. What is the company's annual revenue, current or projected?(Required)

15. Additional revenue details.(Required)

16. List brokers and any third parties attached to your project that will be due a payment or commission.(Required)

17. In the past have you had any personal or corporate, judgments, liens, suits, criminal convictions, foreclosures, divorces, bankruptcies, or other litigation active or pending that we need to be aware of prior to submitting your project to our funding partners? If so we may be able to work our way through these difficulties.(Required)

18. Are you aware and do you agree to the investor's firm doing a credit and background check on the corporation (company) and its principals?(Required)

19. Do you understand that you may be expected to cover due diligence costs, Valuation Fees at some stage during the processing of the loan request?(Required)

The due diligence process includes some or all of the following; civil, criminal, corporate and personal background checks on all principals, hiring of an accounting firm to run parallel proformas, property and lien searches, site visits-(if necessary) etc.

20. Contact Information:

Email(Required)

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

21. Place of business

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company register number(Required)

TAX ID ( VAT or IRS )(Required)

N.B.
If this is for a Development please ensure you have included the following details.
Very Important points to include in any funding request.
Please ensure you have supplied all the following information.

What is the current valuation of the site as is?

Who valued it and how long ago?

N.B. Lenders will only work to valuations done in the last 3 months max.

What will be the overall GDV on completing the sites development?

If there is any money outstanding on the property/project how much is it and to whom is it owed?

State interest rate you are paying if applicable.

* Please do not add any additional information to this form. If you have other documentation to provide, please send it under separate cover*.