Mortgage Cap Financial Application Form

Mortgage Cap Financial
Pre-Qualification Worksheet
The Pre - Qualification Worksheet's purpose is to allow us to review the prospective
transaction to determine the feasibility of further action prior  to issuance of a formal
Termsheet / Engagement / Conditional Commitment
A)	BORROWER INFORMATION
Legal Ownership:						Individual					Partnership			Corp.			LLC
Borrower Name:																	Co-Borrower's Name:
Borrower Contact (if different):
Principals or Guarantors:
Contact Info.:													Phone:						Fax:
													Phone:						Fax:
													Phone:						Fax:
													Phone:						Fax:
													Phone:						Fax:
Name of Borrowing Entity:
Address of Entity:
Borrower's Credit:						Great			Good			Fair			Poor (Why?)_______________________
					Ever declare Bankruptcy?							No		Yes					If YES what Year
					Discharged Date: ( MM/DD/YR)
Please provide details of Bankruptcy:
B)	PROPERTY INFORMATION:
Name of Project:
Address of Project:
Property Type:							Healthcare					Mixed Use								Professional Owner Occ.
		Land					Hotel/Motel					M/Home Park								Retail/Shopping Center
		Mini-Storage					Industrial					Multi-Family								ALF./Senior Citizen
		Retail/Office			Other
B)	PROPERTY INFORMATION continued:
Occupancy:										Non-Owner Occupied									100% Owner Occupied
	(if Applies)
										Partially Owner Occupied									% of Ownership			%
						Property Size: # of Units: (1)									or Gross Leasable Area:						sq. Ft.
						Current Occupancy:			%	Last Years Percentage								%
		Full Year (Net Operating Income):									$                                            -									(Breakdown Pg 5)
		(Please check one)						Estimated			or		Actual
			Year Built:												Year Renovated:
			Title Form:					Fee Simple					Leasehold
Property Physical Condition:									Great			Good			Fair			Poor
							Last Appraisal Date:							Value:		$-
												Borrower's Estimate of Current Value:	$-
C)	MORTGAGE LOAN REQUEST
Requested Loan Amt.:							$-													Requested Rate			%
Total Value of Project:							$-								(cost if purchase)
Acceptable LTV:										%		Collateral
What is the Real Equity in the deal?											$-
Is Equity cost minus loan request,											Yes			No
Are you willing to have and Equity Partner?													Yes		No
Ownership % available to Lender (if applicable)																	%
Loan Type:
				Refi					Const.					Purchase						Bridge
				Cash Out Refi					Hard Equity
Income Producing:							Yes			No
Construction Time:																Yr. Renovated:					(If Applies)
Source of Repayment:
						For what will the funds be used        (Be Specific, List Dollar Amounts)
											See Attached Bid/Cost breakdown
	Land						$-											$-
	Engineering						$-											$-
	Building						$-											$-
	F F & E						$-											$-
							$-											$-
							$-											$-
							$-											$-
	SUB TOTAL						$-						SUB TOTAL					$-
							TOTAL		$-
D)	CASH FLOW 1st YR.
															Yearly					Monthly
											Cash Flow Estimate			$-						$-
											Gross Receipts			$-						$-
	Expenses
	Depreciation													$-						$-
	Franchise fees													$-						$-
	Interest Expenses													$-						$-
	Office Expenses													$-						$-
	Postage													$-						$-
	Professional Services													$-						$-
	Repairs & Maintenance													$-						$-
	Salaries													$-						$-
	Taxes-Payroll													$-						$-
	Taxes-Other													$-						$-
	Utilities													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Total Operating Expenses													$-						$-
										Net Income (loss) for Period				$-						$-
E)	REQUESTED REPORTS/SCHEDULES (VERY IMPORTANT)
Please provide the following schedules:
	1)	Current Rent Roll (2)							If Check
	2)	Past two years property operating statements (revenues and expenses (3)																											1.      Complete Executive Summary with build time
	3)	Set of color Photographs (exterior, interior, curb appeal, etc)																		If Check									2.      Background on developer and/or owner
	4)	Brief Property History / Excutive Summary													Need				Provided below										3.      Detail Sources of Funds, including hard cost, soft cost, FF&E Cost (furniture, fixtures and equipment), financing fees, advertising budget and paid project expenses to date so you can get reimbursement at closing)
	5)	Summary of Known Environmental Issues													Provided below														4.      A five year projection on project
	6)	If Purchase, Copy of the Purchase Agreement														If Check													5.
	7)	Company and Personal Financial Statements														Un-audited
	8)	Background on developer and/or owner													Provided below
	9)	A five year projection on project											Need			Provided below
	10)	Management Composition, if differs from the owner(s)																Provided below											6.      Sponsors or Principals of Corporation, Personal  or balance sheet
(1) For Multi-Family, Mini-Storage or Manufactured Home Park, fill in Units, all other fill inGROSS LEASABLE AREA
(2) Attached is a rent roll form to be used for office, industrial, and retail properties
(3) If owner occupied by borrower, provide past 3 years Financial Statements for Borrower's business at subject
property's location
D2)		CASH FLOW 2nd YR.
															Yearly					Monthly
											Cash Flow Estimate			$-						$-
											Gross Receipts			$-						$-
	Expenses
	Depreciation													$-						$-
	Franchise fees													$-						$-
	Interest Expenses													$-						$-
	Office Expenses													$-						$-
	Postage													$-						$-
	Professional Services													$-						$-
	Repairs & Maintenance													$-						$-
	Salaries													$-						$-
	Taxes-Payroll													$-						$-
	Taxes-Other													$-						$-
	Utilities													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Total Operating Expenses													$-						$-
										Net Income (loss) for Period				$-						$-
D3)		CASH FLOW 3rd YR.
															Yearly					Monthly
											Cash Flow Estimate			$-						$-
											Gross Receipts			$-						$-
	Expenses
	Depreciation													$-						$-
	Franchise fees													$-						$-
	Interest Expenses													$-						$-
	Office Expenses													$-						$-
	Postage													$-						$-
	Professional Services													$-						$-
	Repairs & Maintenance													$-						$-
	Salaries													$-						$-
	Taxes-Payroll													$-						$-
	Taxes-Other													$-						$-
	Utilities													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Total Operating Expenses													$-						$-
										Net Income (loss) for Period				$-						$-
D4)		CASH FLOW 4th YR.
															Yearly					Monthly
											Cash Flow Estimate			$-						$-
											Gross Receipts			$-						$-
	Expenses
	Depreciation													$-						$-
	Franchise fees													$-						$-
	Interest Expenses													$-						$-
	Office Expenses													$-						$-
	Postage													$-						$-
	Professional Services													$-						$-
	Repairs & Maintenance													$-						$-
	Salaries													$-						$-
	Taxes-Payroll													$-						$-
	Taxes-Other													$-						$-
	Utilities													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Total Operating Expenses													$-						$-
										Net Income (loss) for Period				$-						$-
D5)		CASH FLOW 5th YR.
															Yearly					Monthly
											Cash Flow Estimate			$-						$-
											Gross Receipts			$-						$-
	Expenses
	Depreciation													$-						$-
	Franchise fees													$-						$-
	Interest Expenses													$-						$-
	Office Expenses													$-						$-
	Postage													$-						$-
	Professional Services													$-						$-
	Repairs & Maintenance													$-						$-
	Salaries													$-						$-
	Taxes-Payroll													$-						$-
	Taxes-Other													$-						$-
	Utilities													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Other													$-						$-
	Total Operating Expenses													$-						$-
										Net Income (loss) for Period				$-						$-
											Net Income (loss) for 5 yr. Period			$-						$-
F)	IMPORTANT QUESTIONS
Project Description:						(provide details)
Are there any environmental issues?												Yes				No
(if so, what are they?)
Management Team:							See Attached Résumés
Who are they?
What is their Experience?									See Attached Résumés
Project Highlights: (please be descriptive, sell the project to the investor)
Background on developer									See Attached Résumés
Why should the investor risk their money with this project?
With whom has this project been shopped?
Comments						Additional Information