Please provide the following contact information:

Name
Title
Co. Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
FAX
E-mail

Please provide the following property information:

Property Value       # of floors 

Loan Amount             Gross Sq. Ft.     

Year Built                      Net Sq. Ft.       

Year Purchased 

Income & Expense Information:

                                  2001         2002        2003

Gross Rent                

Other Income            

Vacancy                     

RE Taxes                   

Insurance                  

Repairs                      

Maintenance            

Payroll                       

Other                          

Other                          

Please Provide RENT-ROLL:

Tenant Name     Sq. Ft.  (if Apt. # of Bed Rooms )     Lease start      Lease end    Monthly Rent

If more space is needed, please continue the same format on a separate sheet and fax it to 813-818-0218

(make sure the property address is on the left corner of the page)

Please provide specific details about your loan request

Please provide market information, (Occupancy Rate, Major Amenities, Vacancy Rate, Etc.