Date
Church/NP Name Church/Organization Phone
Mailing Address Minister/Exec Dir Name
City, State, Zip Minister/Exec Dir. Phone
Church Denominational Affiliation Is Church/NP Incorporated? Check One
Date of Incorporation Church/NP Federal ID # Date Founded
MEMBERSHIPSHIP AND GIVING
2007 2008 2009 2010 2011
Amount of Contributions For:
# of Membership Age 18 Plus:
Membership thru 2011 Awarded Grant Amounts: 2009 2010
BUILDING FUND PLEDGE CAMPAIGN: 2007 2008 2009
Number of Years: Start Date Goal $
Amount Raised $
PROPERTY
Estimated total value of Church's present buildings and property: $
Amount of Funds already spent on project
Total Cash Available: Bank Accounts Savings Accounts Investment Accounts
Outstanding Balances on all loans and indebtedness:
Total Revenue Total Expenses Total Pledges
As of 2011
2010
2009
2008
TOTAL AMOUNT OF FUNDS AVAILABLE TOWARDS PROJECT $
PROJECT
Building New Sanctuary Facilities $
Build New Education Facilities $
Remodel or Repair present Facilities $
Other (please explain) $
Total estimated amount of financing needed for above project(s) $
Estimated date of goundbreaking or closing:
PROPERTY AND LAND INFORMATION:
How long at current location? Do you rent or own? Mortgage or rent amount
If own: How Long Do you own land? (if so) How Long?
What is the Land value Land and/or Building Location
Was Land or Building been appraised? (If yes, when?)
What is the current debt on the Land or Building? What are the future plans for the Land or Building
Are there any Environmental or Survey Reports on the Land? (If yes when?)
Do you have any building Architect Plans? (If yes, who is Architect?)
What other companies have you contacted regarding your project?
Information contained herein and attached has been obtained from the church's offical records and are true and correct to the best of your knowledge. This application and all information contained herein will be used for the purpose of securing financing and other services for the church. The church will be required to submit any and all additional information necessary to obtain services.
Information compiled by:
Phone:
PLEASE PROVIDE A SEPARATE PROJECT SUMMARY SHEET WITH ADDITIONAL DETAILS ON YOUR NON-PROFIT OR CHURCH PROJECT. PLEASE GIVE CONTACT INFORMATION. PREPARE THE SHEET IN A MS WORD DOCUMENT WHEN SUBMITTING THE ADDITIONAL FORM THROUGH E-MAIL. PLEASE FAX PROFIT/LOSS AND BALANCE SHEET FINANCIALS FOR 2009, 2010, 2011 and YTD 2012 TO (877) 974-7746. YOUR FAXES GOES DIRECTLY INTO A SECURED COMPANY EMAIL.
IF YOU NEED ASSISTANCE WITH GETTING YOUR FINANCIALS COMPILED, PLEASE LET US KNOW.
Mail this form to: Church Resource Company - P.O. Box 681323 - Charlotte, NC 28216
or Fax to: (877) 974-7746 - Phone: (877) 684-4513 - Or Press SUBMIT TO E-MAIL FORM
