Flexible Church Loans Questionnaire

Please Fill out this  survey form to begin the pre-qualification process and receive a FREE complimentary analysis of your  borrowing ability.  There is no fee or  obligation associated with this survey form, and the information you supply is  confidential. One of our Client Managers will contact you within upon receipt of your completed questionaire within 24 to 48 hours.  For a faster response please fax income statements, and balance sheets to fax 888-675-7502.

Church Questionaire  Form

Church Phone:

Legal Name of  Church:

Fax:

*Primary Contact (with title):

Address:

Cell/Pager:

City/St./Zip:

*Email:

Church Website URL:

2nd Contact:

Denomination/Association:

Phone:

Is this a purchase or refinance?

purchase?

purchase price?

refinance?

Attendance  and Demographic Information

Current Sunday Attendance:

Current Membership:

Average Sunday Last Year:

Membership Last Year:

Membership 2 Years Ago:

Average Sunday 2 Years Ago:

Membership 3  Years Ago:

Estimated Next Year Attendance:

Financial

Project  Amount:

Current Mortgage Amount:

Finance Amount:

Current % Rate:

Current  Weekly Offering:

Original  Term:

Cash   Available:

Years  Remaining:

Value of Property/Improvements:

Current Payment Amount:

Please choose the rate you are seeking:

Fixed?

Variable?

Not Sure

How would you rate your credit:

Excellent (no bk or foreclosures ever):

Good(minor lates, no bk or foreclosures within past 10Y:

Fair (recent lates, no recent bk or foreclosure):

Bad (recent serious lates and/or bk or foreclosure):

Additional  Information

Please FAX MOST RECENT THREE YEARS INCOME STATEMENT AND BALANCE SHEET TO 888-675-7502:

Please  Note: All information supplied is deemed confidential and no information will be released, disclosed, or made public.

*Denotes required fields.