CHURCH/AGENCY LOAN APPLICATION

CHURCH/AGENCY LOAN APPLICATION
GENERAL INFORMATION
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Organization Name:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pastor/President/CEO Name:
Pastor/President/CEO E-mail Address:
Pastor/President/CEO Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Loan Primary Contact Name:
example@example.com
Loan Primary Contact Email:
example@example.com
Loan Primary Contact Phone:
Please enter a valid phone number.Format: (000) 000-0000.
ORGANIZATION INFORMATION
NAME - CHAIRPERSON, BOARD OF TRUSTEES
E-MAIL - CHAIRPERSON, BOARD OF TRUSTEES
NAME - CHAIRPERSON, FINANCE COMMITTEE
E-MAIL - CHAIRPERSON, FINANCE COMMITTEE
Additional Information:
Is your organization chartered/incorporated?
If Yes, what year were you chartered/incorporated?
Invested in the Florida United Methodist Foundation Development Fund?
Please provide a brief overview including history, current ministries, community support, and vision for the future.
CONNECTION AND COMMITMENT (if applicable)

1. Please tell us about your connectional commitment by providing us with your institution’s apportionment history, if applicable, during the past five years. If less than 100 percent, please submit an explanation on a separate sheet.

Rows	Year	Percentage Paid	Amount Paid
Current Year
First Previous Year
Second Previous Year
Third Previous Year
Fourth Previous Year

2. Are there any outstanding:
a. Property insurance premiums?
If yes, how much?
b. Health insurance premiums?
If yes, how much?
c. Clergy pension contributions?
If yes, how much?
d. Unpaid accrued bills?
If yes, how much?

Please tell us about your scheduled services/attendance and financial stewardship:

Rows	Year	Present Membership	Average Worship Attendance	Church School Enrollment	Church School Attendance	Average Weekly Offering $	Average Number of Giving Units
Current Year
First Previous Year
Second Previous Year
Third Previous Year
Fourth Previous Year

FINANCING NEEDS/PROJECT DESCRIPTION
Loan amount requested:
NOTE: All loan closing costs will be deducted from the loan proceeds unless other arrangements are made prior to loan closing.
COST OF PROJECT (including architectural and associated fees):
Total Project Cost
PROJECT DETAILS
Please check the appropriate option below and attach a separate sheet with a detailed description of the project.
Purchase:
Purchase:

Other:
Refinance:
Refinance:

Other:
New construction at present or new location
1. Estimated construction period:
2. Has construction/remodeling begun?
2. Has construction/remodeling begun?
3. Has a Notice of Commencement been recorded?
4. Is this a “fixed price” contract?
5. Is there any affiliation between the institution and/or its constituents with any building contractor or supplier who has an interest in or may receive any of the loan proceeds?
Other (please describe):
PROJECT RESOURCES
What is the collateral?
What is/are the address(es) of the collatoral?
Do you have a recent appraisal of the collatoral?
When will you need the funds?
3. How do you intend to repay the loan?
4. Project-related funds on hand:
6. Amount already paid on project:
CAPITAL CAMPAIGN

The amount of pledges should equal the total of at least two years of the loan amortization.
A capital campaign:
Campaign Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Pledges Payable:
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Amount Received on Pledges
As of Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Total Amount Received
5. Future Capital Campaign
Will another capital campaign be held to secure additional pledges for debt retirement.
Campaign Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Campaign End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
CHURCH PROPERTY AND EXISTING MORTGAGE LOAN

BUILDING/FACILITY

Rows	Yes/No	Age	Seating Capacity	Square Footage	Property FMV	Exterior Material
Auditorium/Sanctuary
Education Building
Fellowship Hall
Day Care
Parsonage(s)
Other

EXISTING MORTGAGE LOANS (IF APPLICABLE)
NAME OF LENDER
LOAN OFFICER
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Account/loan number:
Loan origination date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Original loan amount:
Current balance:
Interest rate:
Payment:
Amortization period:
Legal description of property:
Does your institution have any additional debt (mortgage loans, credit lines, unsecured notes, etc.)?
If yes, please attach on a separate sheet.

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ADDITIONAL INFORMATION AND ATTACHMENTS
Please include the following required information as attachments. You may submit the application without all required information, but we will not consider it "complete" until we receive and approve everything required.
Income and expense statement (year to date)

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Balance sheet (year to date)

Cancelof
Year-end financial statements for each of the previous two years (including balance sheet and income and expense statement)

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Detailed description of the project

Cancelof
Cost breakdown of the project

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Summary of repayment plan/strategy

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Appraisal of Collateral (if available)

Cancelof
If apportionment history is less than 100 percent for the past five years, please provide an explanation

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AUTHORIZING RESOLUTION, RECOMMENDATION AND CONSENT of GOVERNING BODY (Church Council/Charge Conference/etc.)

Cancelof
CERTIFICATION
Name
Role
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

CHURCH/AGENCY LOAN APPLICATION

GENERAL INFORMATION

ORGANIZATION INFORMATION

FINANCING NEEDS/PROJECT DESCRIPTION

PROJECT RESOURCES

CAPITAL CAMPAIGN

CHURCH PROPERTY AND EXISTING MORTGAGE LOAN

EXISTING MORTGAGE LOANS (IF APPLICABLE)

ADDITIONAL INFORMATION AND ATTACHMENTS

CERTIFICATION