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Church Loan Application Form

* = required field
Contact Information
Name of Church:*  
When organized / incorporated:*  
Address:*  
City:*  
State:*  
ZipCode:*  
Phone:
TaxId:*  
Contact Person:*  
Contact Person Phone:*  
Contact Person Email:*  
Pastor:*  
Loan Information
Requested Loan Type:*            
Requested Loan Amount:*  
Church Information
Number of Sunday Services:*  
Number of Sunday Attendees:*  
Annual Unrestricted Giving Totals:*  
Debt Information

list present debt obligations
Debt #1 Amount: Debt #3 Amount:
Interest Rate: Interest Rate:
Maturity: Maturity:
Debt #2 Amount:
Interest Rate:
Maturity:
Asset Information

list present Church real estate assets
Asset #1 Amount: Appraised value:
Parcel Address:
Asset #2 Amount: Appraised value:
Parcel Address:
Asset #3 Amount: Appraised value:
Parcel Address:
Comments
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