Global Project Funding

On-line Application

Please fill out the application below

Also, please be prepared to provide an executive summary of the project
(5 pages maximum) once we contact you.

Name of Borrowing entity:
First Name
Last Name
Title
Organization

List State Corporation duly incorporated in:
State

Principal Office address:
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Please provide the following contact information:
Work Phone
Home Phone
FAX
Email
Website Address

Authorized name signature for financing:
First Name
Last Name
Middle Initial
Title

Name of Project:
Project Name

Location/Complete property address:
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Property/Project Description:
Purchase:	Yes No
Borrower (s) Name:
Amount Requested:
Use of Funds:
Collateral:

Management:
Organization
Projected commencement date:	mm/dd/yy
C.O. Value upon completion:
12 month operating history:
Gross Income upon completion with 12 month operating history:
NOI for the same period:
Escrow for deposit or capital infusion	Yes No
If yes, state location and amount:
Type of loan:
Submitted by:

Please review your entries carefully before submitting your application.