Financial Information for Pre-Qualification Quote

Financial Information For Pre-Qualification Quote:

Please provide all of the following information to receive a pre-qualification quote.
Church Name *
Present Mail Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Fax Phone Number *

Area Code Phone Number
Church E-mail *
Date of Incorporation *
Tax ID # *
Senior Pastor *
Senior Pastor Cell *
Evening Phone *
Average Weekly Attendance (Adults) *
Average Weekly Attendance (Children) *
Last Year's Total Gross "Plate Income" *
This Year's Total Gross "Plate Income" *
Last Year's Net Daycare Income (if any) *
Property Debt | Debt on your present properties (if any) *
Present Monthly Payment Is *
Interest Rate Is *
The purpose of this financing request is:
Total Real Estate Value Will Be | Best guess (include planned improvements *
Total Amount of this Church Financing Request is *
How did you hear about us? *
Submitting Agent / Originator Requesting "Pre-Qual" Quote
Company: *
Phone: *
Fax: *
Agent Name: *
Agent Cell: *
Agent Email: *
Should be Empty:

Financial Information For Pre-Qualification Quote: