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Full Corporate Structured Investment Finance Request Application for Projects('PSF')

This corporate structured investment finance application request is to be completed by:
1). Prospective Borrowers -or-
2). Intermediaries wanting to handle the complete financing process and follow-up themselves.
3). If you want to use our 'Easy Submit' corporate structured investment finance request application then go to page/link: 'Easy Submit'

Merely, complete the information an 'click' the submit button (If your browser does not support online submissions, please print; then fax or e-mail this information).

Note: Due to standard policies and procedures all questions must be answered and applications without all answers (especially to question #22) can not be processed.

ALL QUESTIONS MUST BE ANSWERED TO BE PROCESSED
 Structured Finance Request Application

ALL QUESTIONS MUST BE ANSWERED TO BE PROCESSED 
1). Exact Location of the business/structured finance request Applicant: 
2). Exact Location of the business venture: 
3). Business venture description; (Provide a brief outline of the venture including what the company actually does) full executive summaries will not be accepted on this form: 
3a).Type of business venture : (Real Estate Development, Manufacturing, Merger and/or Acquisition, Business Expansion, Business Purchase, Refinance, Asset Based Finance or etc...): 
4). Humanitarian/Environmental Impact (or restrictions); if any):
5). Amount of desired Structured Financing: 
6). Finance Structure Desired (Debt, Equity etc...):
6a) Is there any restriction associated with your venture structured finance request (Yes or No) ( i.e. time restrictions & etc...if so specify in detail): 
7). Financing Structure Requested (Fixed rate of return, Variable rate of return, etc...) : 
8). If Construction or Renovation (length in months): 
9). If Construction what is the finalized value( the as built value): 
10). Business Type (Corporation, LLC, Sole Proprietor, Partnership, etc...): 
11). Use of funds if not related directly to Project/Business: 
12). What Current Collateral/Asset including your investment do you have in this venture...(Note: If you do not own it now and/or have not invested it yet do not enter it here): US$ 
12a). Itemize Above Type of Collateral/Asset and/or Your Investment:
12b). Is the collateral/asset listed in (12a) an income producing collateral/asset (Yes or No):
13). End Value of Future Collateral Offered (Note: do not include current collateral listed in #12 above:) US$ 
13a). Please describe this venture future  collateral: 
14). Do you have ancillary collateral which could currently be used which is not directly associated to this new venture?: 
14a). Do you have ancillary collateral which could currently be used which is directly related to this new venture but has not yet been listed?: 
14b). Do you have ancillary Cashflow which could be currently used which is not directly associated to this new venture?: 
14c). Do you have ancillary Cashflow which could currently be used and is directly related to this new venture but has not yet been listed?:
15). Value of collateral in #12 plus collateral in #14 and 14a =: 
16). Annualized Gross Income from the Business Venture: US$ 
16a). Annualized Net Earnings from the Business Venture: US$  
17). Guarantees (other than personal) Available: 
18). Full Legal Name of the business requesting structured financing..(Note: Always include the full exact legal name of the company that is requesting structured financing): 
19). The corporation/ business Legal Status (active, inactive, being formed etc).: 
20). Date & Place of Incorporation: 
21). Any Outstanding or previous Litigation Against the Firm or Officer(s)? 
22). The contact information of the company requesting (structured) financing: Address, Phone Number, Fax Number & E-mail.
(Note: ALWAYS include email & fax of the actual company principals requiring the financing...not the details of the broker, intermediary consultant or etc...or this form will not be processed): 
23). Corporate Officers_Name & Title:
23a) Shareholder(s) name: 
24). Should Business Plan be sent as part of this Application: NO 
25). Why are you using our corporation’s services instead of your corporate and/or personal banking contacts?: 
26). Due to standard policies and procedures complete analysis of the business venture and due diligence is always conducted and is an inherent necessary cost & expense...not a fee. Are you prepared to pay for this cost/expense? (Yes or No)?:
27). Are you prepared to furnish a form of a surety bond if underwriting/due diligence considers one necessary (Yes or No)?: 
28). How did you hear of our services (if through a broker/agent please specify name)?:
29). If this is being submitted by a broker/agent/consultant are you in direct contact with the principals of company requiring the financing  (Yes or No)?:
30). If submitted by a broker/agent/consultant...How did the client find you or how did you find the client?:
31). Your Comments: 
-Finish-

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