FBN Version 3.3       
Funding Questionnaire
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Part 1 - Account

Personal Information
First Name* Last Name*
Company Name
   
Email* ReEnter Email*
Password* ReEnter Password*
 
Contact Information
Work Phone* Fax Number
Mobile Phone Home Phone
   
Your Location
Country*
Address
City
State*
Postal Code/ZIP
 
Additional Info
Relationship to Projects
Additional personal or business information (Important!)
 

Part 2 - Project

Project Information
 
Industry Type
Property or Project Type
Project Amount - Total Project or Investment Value
 
Loan or Investment Amount Loan or Investment
 
Property or Business Location
Country*
Address
City
State*
Postal Code/ZIP
 
Additional Information
Project Description: Describe the property, project or investment and its marketability. List important facts, history, experience, contingencies, projections, investment return and use of funds. Please include a general summary of initial costs and time frame of development to completion.
 
Project Status: List historical progress of any previous attempts to fund project or receive investment. Are you currently working with others? What is the status of project? Have you had any problems, cancellations, credit problems, losses or delays in this matter?
 
Financial Status: Provide information on credit history, collateral, guarantees, secondary financing, collateral enhancements, other securities that can be utilized such as stocks, bonds, letters of credit, bank guarantees, cash holdings, real estate and include an overview of the financial statements of the principals who will be securing the investment.
 
Funding Requirements: Include pro forma on exact financial requirements of project. How much is requested, at what interest rate, loan type, participation, joint venture, equity participation etc. When is funding needed? How will the funds be paid back? What are your commitments if any such as broker fees, entitlements, patents pending and or other soft costs etc.
 
Relationship to Project or Investment:
 




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