Loan Number:
Date Received:

Project Name:

Address:
State: Zip:

Borrower Information

Name of Entity:
Type of Entity:
Name of Principal:
Address: State: Zip:
Phone: Fax:
Other:

Principals (those holding 10 percent or more interest)
Name:
Ownership: %  Title
Name:
Ownership: %  Title
Name:

Ownership: %  Title
Name:
Ownership: %  Title
Name:
Ownership: %  Title
Primary Contact:
Phone:

For a Corporation:
List Officers:
President:
Vice President:
Treasurer:
Secretary:

Ownership Information
Refinance:  Date acquired
Initial Price:$
Existing First Mortgage $
Interest:%
Mortgage monthly payments:
Amortization:
Date of Balloon:
Prepayment Provisions:
Described any other financing:
Acquisition Finance:Closing Date:
Price:$
Costs or concessions paid by Seller:
Cash to close:$
Source of Funds:

______________________________________________
Authorized Principal Borrower Signature

______________________________________________
Date

Requested Loan Terms
Non-recourse mortgage on the listed property.
Loan Amount:
Term:
Amort.:
Loan Value:
Purpose of the loan:

Property Information
General description of use and improvements:

Total square footage:
Number of Units:
Year built:
# of stories:
Last major renovation (if over 10 years old)
Describe Conditions and Key Amenities:

Key Property Financial Information
Estimated Appraised Value$
Current Gross Income$
Gross Potential Income 100%$
Vacancy Rate (12 month average)$
Operating Expenses$
Management Fee (outside)$
Reserves$
NOI (income before debt service)$
Debt Coverage Ratio (current)%
Debt Coverage Ratio (proposed)%

Description of Security:
Property  Land Area:
Parking Spaces:
Current Zoning:

Property Management
Self Management - provide background information concerning on principal background in the management of this type of property:

Resident Manager - provide details on functions, salary, benefits, complementary units, etc.:


Outside Third Party Management
Name of Company:
Address:
City:
State:
Contact Name:
Phone:
Management Fee:
(% or $ per annum)
Term of Contract:  Starting Date:
Term Expiration:

Existing Mortgages
Name of Company:
Address:
City:
State:
Contact Name:
Phone:
Fax:

Loan Number:
Outstanding Balance:
Current Interest Rate:
Current Monthly Payment:

Junior Lender (if applicable)
Name of Company:
Address:
City:State:
Contact Name:
Phone:
Fax:

Loan Number:
Outstanding Balance:
Current Interest Rate:
Current Monthly Payment:

Other Information
Tax identification number for borrowing entity:

Social Security Numbers for Individuals:

Has the borrower or the principal taken bankruptcy?
Is so, date and location of filing:
Date of discharge from bankruptcy:

Has borrower or principal ever defaulted on a financial obligation or compromised a debt?

If so, please attach a description of the litigation and circumstances involved.

Authorization:
Signing and submitting this loan request aurthorizes us in our representatives to:

Make credit inquiries of existing and prior lenders.
Make credit inquiries to access the reports of all principals, officers and
directors of the borrowing entity.
Access the proposed security at reasonable a time and upon reasonable notice.

The borrower understands that the submission of the Loan Fact Sheet is solely for the use in consideration of the extension of credit to the Borrower listed above.  This Loan Fact Sheet creates no commitment to extend credit to the borrower and no commitment on the part of the Borrower to accept any credit which might be extended.  If financing is offered, it will be done so in the form of a written commitment fully executed by an authorized officer of the Lender.

Borrower hereby confirms that the information provided by the Borrower and/or principals on this Loan Fact Sheet, as well as any subsequent information that might be submitted with this loan request, is true and correct and may be relied upon for consideration of a request to extend credit to the Borrower.  Any misrepresentation by Borrower in conjunction with the Loan Fact Sheet or any other information provided by Borrower may be viewed as fraud, and as such, may be punishable by law.

________________________________
Borrower Name

________________________________
Signature                              Date

________________________________
Title of Individual

Additional Borrowers:

________________________________
Signature                              Date

________________________________
Signature                              Date

________________________________
Signature                              Date