following is a simple project
data information request sheet.
Please fill out all
information and indicate
those, which are not applicable with (n/a.)
We will use the information in this project
data sheet to evaluate your company’s
financial position so that we may
financial alternative tailored to your needs.
therefore essential that all information indicated is accurate
If you have any
questions, please do not hesitate to contact us at 800-866-3140.
Your first and
and fax number(s):
phone, cell and fax numbers:
Time zone and
best time to call:
the project government or private?
How soon are
funds needed, and is there a preferred time frame at which funds are to
be obtained (1sr qtr, 2nd qtr, etc)?
types of funding will be considered or preferred?
the company engaged with other funding sources at this time? Yes/No
Are you a loan
broker? Yes/No. Brokers are welcome!
stage has the application reached?
so, indicate the actual annual revenue for the past 3 years:
1: (US Dollars)
2: (US Dollars)
3: (US Dollars)
is the total amount of cash funds or existing credit funds that will be
brought to the closing table by your group to complete this funding
transaction? Please list amount in US funds.