Kingdom_Building_PreQualify

Organization Name or Title:

*First and Last Name:

*Phone Number:

- - x

*Email:

*Street Address:

*City:

*Zip Code:

How much capital (money) are you seeking:

$

*What is the purpose for requesting the financing:

(chars left: 200)

*This year projected income or revenue:

$

*Last year income or revenue:

$

*The year that the orgainzation started:

list as 19xx or 20xx

*The average personal credit score of three principal are:

Excellent

Good

Fair

Poor

*What is the current organization net worth:

$

What is the appraised current value of land and or building:

If appraised, when:

/ /

If there is no appraisal, breifly describe the property:

(chars left: 300)

If property is to be purchased, give details:

(chars left: 300)

Total mortgage amount assigned to your property:

$

Monthly payment on mortgage:

$

Current amount saved in building fund or savings account:

$

Is the organization currently profitable:

Yes

No

If so, how many consecutive months:

Does the organization have a CPA to prepare financial statements:

Yes

No

What type of statements:

Audited

Reviewed

Complied

If so, when does the fiscal year end:

/ /

List all other sources of income for the organization:

(chars left: 300)

ex: day care, books and media sales, donations, memberships, etc.

Based on the information, what is a comfortable payment each month:

$

Number of active members on your roster:

Additional Comments:

(chars left: 500)

Kingdom_Building_PreQualify_Application