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LandStar Funding
APPLICATION FOR LOAN
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Please
attach the following documents to this application:
Purchase Contract (if an acquisition loan), location map and aerial,
existing survey or plat, description of borrower’s entity structure and
signature block, resume or background of the borrowing entities principals,
proformas, engineering or other third party reports, and any additional items
that would assist Stratford Realty Capital in evaluating your request.
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I. BORROWER INFORMATION
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Borrower(s)
Name(s)
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Address
(street, city, state, zip code)
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Phone
Number
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Fax Number
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Email
Address
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Tax ID #
or SSN
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entity name
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State of Formation
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Type of
Entity
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Year of
Formation
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II. PRINCIPALS / INDIVIDUAL BORROWERS
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List below
individual borrowers, general partners, or any person or entity that directly
or indirectly controls the borrowing entity, including limited partners of a
partnership, shareholders of a corporation or members of a limited liability
company.
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Name /
Title
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Address
(street, city, state, zip code)
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Ownership
%
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Name /
Title
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Address
(street, city, state, zip code)
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Ownership
%
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Name /
Title
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Address
(street, city, state, zip code)
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Ownership
%
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III. USE OF FUNDS
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Purchase X Refinance Other (explain below)
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Amount of
Request 840,000
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Length of
Term Requested 360 Mos
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Estimated
Closing Date
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Purpose of
Loan (business plan, future use of property, exit strategy, etc.) (use
section V. on page 2, if necessary)
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Purchase
of 16.97 acre tract raw land
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Complete the following if the Use of Funds is a
refinance:
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Lienholder’s
Name
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Lienholder’s
Address (street, city, state, zip code)
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Year
Property Acquired
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Original
Cost
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First Lien
Balance
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Other Use
of Funds (explain):
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IV. PROPERTY INFORMATION
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Address of Property
(street, city, state, zip)
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Legal
Description of Property (use section V
on page 2, if necessary)
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Purchase
Price
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Size of
Property (acres / sqft.)
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Estimated Property Value
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Issues associated with the Property
(if none, state “none”) (use section V
on page 2, if necessary)
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1) Current zoning designation:
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2) Describe location of utilities: (water and
sanitary sewer)
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3) List existing easements:
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4) List any use restrictions:
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5) Known environmental issues:
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6) Located in the 100-year flood plain: (If checked, describe below)
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7) List any existing leases: (include agricultural leases)
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8) List any other known property issues:
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V. ADDITIONAL INFORMATION
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use this section for additional information of sections I, II,
III, and IV, if necessary)
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By
submitting this application, I/We certify that everything stated on this
application or any attachment is correct to the best of My/Our
knowledge. I/We will notify the Lender
in writing of any changes to the information provided. If signing on behalf of an entity and not
as an individual, I/we certify that I/we have the authoritative capacity to
sign on behalf of the Borrower(s).
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_________________________________________________
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________________________________________________________
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Signature of Authority Date
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Signature of Authority
Date
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