Phone:		Fax:
Email:

How do you prefer to be contacted? -Select- email phone fax whatever
I s this a Purchase or Refinance? purchase land purchase building construction refinance -Select One-

For a PURCHASE
What is the Purchase Price?
Is the property under Contract?	Yes No
When do you need to close?

For a REFINANCE
How long have you owned it?
What was your cost?
What is your current Loan Balance?

Loan Amount Requested:
Estimated Value:

Please briefly describe the use of the Loan Proceeds:

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Church Information

Date Formed:
Is the Church incorporated:	Yes No
Affiliation:
How many Services each week?

Brief History of the Church:

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Minister/Pastor Information

Title/Position:
Name:
Address:
Years in this position:
Years in Ministry:

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Membership Information

	YTD 2007	2006	2005	2004
# of Members
Weekly Attendance
Total Givings*

(*do not include any Building Funds)
Please provide a Balance Sheet and Income and Expenses for each period above. These can be emailed to CMC@catalinamortgage.com, or faxed to (877) 794-8421.

Please identify any Building Fund Campaign information:

Date of Campaign		Amount Pledged
Paid to Date		Balance to be paid

Anything else we need to know? Specific Timing issues. Other.