| E-mail Address: * |
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| 1. The complete legal name of the business/borrowing entity for
funding purposes: |
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| 2. Full legal name of authorized contact person (Mr./Mrs./Ms.) for
the business/borrowing entity: |
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| Attach a File: |
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| 3. Full Mailing Address: |
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| Street |
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| City |
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| Country |
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| Zip |
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| 4. Contact telephone numbers (including country code, area code,
and number). Please provide both telephone and fax numbers: |
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| 5. Principal e-mail address for contact, and website
address: |
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| 6. Are you a principal (owner) of business/borrowing
entity? |
Yes No |
| Or are you an agent/broker/representative of the
business/borrowing entity? |
Yes No |
| 7. Total amount of funding request: |
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| 8. Summarize how the funds will be used (Example: Property
acquisition-$; Entitlement expense-$; Infrastructure/Site Development-$;
Construction Cost-$; Sales/Marketing-$; Operating Capital-$; Developer
Overhead-$; Legal/Accounting Expenses-$; Closing Costs-$; etc.) Please quote in
U.S. dollars: |
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| 9. Summarize how the funds will be used in total if different than
in question 8. (Please be specific in your description): |
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| 10. Do you propose to hold the project for investment or sell the
project after project funding/development is completed? |
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| 11. Complete address of the project location (street, town/city,
country, etc.): |
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| 12. Descriptive title of the project: |
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| 13. What is the status of all necessary government approvals and
permits necessary to begin the project? |
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| 14. What work remains to be done in order to obtain the necessary
government permits/approvals and what is the approximate time frame for
obtaining such approvals? |
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| 15. What is the name and location of the jet airport nearest to
the project location, and what it the approximate driving time from the airport
to the project location? |
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| 15. What is the name and location of the jet airport nearest to
the project location, and what it the approximate driving time from the airport
to the project location? |
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| 17. Is the land for the project owned outright? |
Yes No |
| If not, how is the land for the project controlled (i.e.,
option-to-purchase and due date) and what is the amount owed to pay off the
land |
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| 18. How do you propose to pay the interest due from funding (to be
borrowed, capitalized, etc.)? |
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| 19. What type of guarantees are you willing to offer in order to
secure a loan? (i.e., guarantee by the borrowing entity, personal
recourse/guarantee by the borrower(s), bank or insurance guarantee(s),
government guarantees, etc.) |
|
| 20. List the name(s) of the funder(s) who are currently
considering or have considered your funding request, and summarize the current
status or result(s) of your request(s): |
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| 21. Provide the names and background/experience of the development
team and include any consultants/advisors/contractors, etc. |
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| Permitting, Site Design, Engineering and Construction Oversight
- |
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| Legal |
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| Financial Planning - |
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| 22. If you are represented by a consultant/broker/intermediary,
please detail your fee agreement as a percentage of the loan
request: |
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| 23. Please provide a brief executive summary of your
project/funding request, include loan/credit request, project description,
developer/borrower history, use of funds itemization, collateral value both as
is and upon completion of the project, exit strategy, etc.: |
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| 24. Please itemize the capital spent to date on the project in
U.S. dollars, and the purposes for which the capital was used: |
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| Land Acquisition |
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| Topographic Survey |
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| Travel and Misc. |
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| Technical Studies |
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| Project Management |
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| Architectural Services |
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| Legal Service |
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| TOTAL SPENT |
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| 25. Please list the equity invested to date into the project in
U.S. dollars, and how such equity amounts/percentages were
calculated: |
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| 26. Please provide a personal financial statement of each
principal of the development, listing in detail all assets owned and all
liabilities owed. Please include each principals funds invested into the
project and the value of the project as is plus any business ownership
assets/value: |
|
| 27. Please attach an 8.5 x 11 copy of a conceptual site plan of
the project, or artists rendering of such if available: |
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| 28. Please provide additional information for each borrower as
follows: |
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| A. Borrowing entitys incorporation/registration date (day, month,
and year) |
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| B. City and country of the borrowing entitys
incorporation/registration |
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| C. The opening capital of the borrowing entity in U.S.
dollars |
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| D. The number of shares of stock initially authorized to be issued
by the borrowing entity, and the number of shares already issued/paid
out |
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| E. Name(s), address(es), and full contact information for all of
the borrowing entitys principals, owners, or partners |
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| F. Name(s), address(es), phone, fax, and e-mail addresses of the
borrowing entitys banker(s) |
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| G. Name(s), address(es), phone, fax, and e-mail addresses of the
borrowing entitys accountant(s) |
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| H. Names, addresses, telephone, fax, and e-mail addresses of two
(2) commercial/business references familiar with the principal(s) and the
project. (Examples: Architect, builder, project manager, or professional
consultant) |
|
| (Examples: Architect, builder, project manager, or professional
consultant) |
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| Legal Firm: |
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| Financial Planning Consultants: |
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| H. Names, addresses, telephone, fax, and e-mail addresses of two
(2) commercial/business references familiar with the principal(s) and the
project. (Examples: Architect, builder, project manager, or professional
consultant) |
|
Cash Flow Projections have been
submitted concurrently with this document.
Project
Cash-Flow Cost & Value Information (in U.S. Dollars)
Please provide
a detailed breakdown of the project under the appropriate column as follows:
Year/Qtr. Dev. Costs Gross Income Operating Costs Estimated Profit Project
Value (Notes: * 1st Quarter development costs should include property
acquisition, loan payoff, etc. * Itemize project costs on a quarterly basis
until project is completely finished. * Years should be shown as: Yr. 1,
Yr. 2, etc. * Show the escalating value of the project in the 4th quarter
of each year only; (At completion, the value of the project should be at least
25% to 30% above the total of all costs) * Show Income, Operating Costs,
and Profit in the year and quarter you anticipate each to begin * If the
funding request is for a project to be held for investment, and there is a need
for an amortized term loan after the construction is completed, provide the
cash flow for each year until the funding is completely repaid *
Sales/marketing expenses should be included in the Operating Costs
|
|
| |
| *
Required |
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