Applicant Information E-mail: * Password: * Confirm Password: * First Name: * Last Name: * Company Name: Address: City: State/Province: Select One Zipcode: Country: Select One Office Phone: Fax: Home Phone: * Mobile Phone: Relationship to Property: * If other Please Specify: Select One Exact name in which title is or will be held: How did you hear about us ?If other, please specify: Select One Applying for the purpose of: * Select One ( * required field ) Next Loan Information Applicant's estimate of property value: $ Is there currently a signed contract to purchase ? Yes No If so, what is the date that you were required to close ? Does the contract have "time is of the essence" language ? Yes No How much is the pending purchase price ? $ How much cash did you, or will you put down ? $ State any other terms of purchase: When did you buy the property ? The recorded purchase price was: $ , which included $ cash equity and/or downpayment out of pocket as of the time title was taken. + Not including the above downpayment, $ OTHER ADDITIONAL CASH EQUITY including costs of capital improvements has been invested into the property to date. Existing Financing, Debt and Outstanding Liens To Be Paid Off: $ First Mortgage with Lender, at % with Annual Debt Service of $ $ Second Mortgage with Lender, at % with Annual Debt Service of $ $ Accrued Real Estate and/or Water & Sewer Tax charges $ Mechanic's and/or all other liens Lien position of mortgage being applied for: * Select One Desired loan type: * Select One Rate the importance of the following loan features, so that we may better serve you.1st Preference: No Preference 2nd Preference: No Preference Desired interest rate type Select One Desired interest rate I would accept now if provided to me: Select One % Maximum Interest rate I am willing to pay the lender: Select One % Maximum Loan Fee: Select One point(s) combined between lender & broker Desired amortization Select One Desired Loan Term (You can choose more than one): Financing Application Requested Amount of: * $ Has the property been appraised within the last 2 years ? Yes No If yes, what is the date of the appraisal report (mm/dd/yy) ? By whom ? How much was the appraised value ? $ Is 51% or more of this property occupied by owner/user ? Yes No LICHTENSTEIN CAPITAL MARKETS Direct Lender, Global Commercial Real Estate, Corporate Finance and Mortgage Investment Bankers, Mailing Address: 5770 Palisade Avenue, New York 10471 No Mail!: 23 East 10th St. Suite#102 Manhattan, NY 10003 Email: LichtensteinRETM@aol.com Telephone: (800) 242-9888, (212) 255-4888, (718) 549-5999 or Fax: (212) 255-5277 QUALIFICATION ANALYSIS application form for: Corporate Finance of non-personal Business entities &/or Business Owner Occupied Real Estate, &/or Mergers, Acquisitions or Leveraged Buyout Financing, &/or Financing of: machinery, medical, transportation, or aerospace equipment, &/or Lines Of Credit APPLYING FOR THE PURPOSE OF: Corporate Takeover, Mergers & Acquisitions, Leveraged Buy-Outs - Corporate Financing DATE COMPANY NAME: ENTITY TYPE: SOURCE OF INFORMATION indicate tax returns, financial statements (audited or un audited, accountant prepared or self prepared): Select One Other: BALANCE SHEET & FINANCIAL SPREAD ADJUSTMENTS AS OF FISCAL YEAR END / / DEBIT CREDIT POST-LOAN PROFORMA / / ASSETS (increases are entered on debit side, decreases on credit side) Cash $ $ $ $ Trade Notes and Accounts Receivableless allowance for bad debts $ $ $ $ Inventories $ $ $ $ Stocks, Bonds, Marketable Securities $ $ $ $ Other Current Assets, specify: $ $ $ $ Total Current Assets $ $ $ $ Loans to shareholders/owners $ $ $ $ Receivable: Mortgage and Real Estate Loans $ $ $ $ Other Investments, specify: $ $ $ $ Buildings,Real Estate and other depreciable assets (net of depreciation) $ $ $ $ Depletable Assets (net of depletion) $ $ $ $ Land (net of any amortization) $ $ $ $ Intangible Assets $ $ $ $ Other Assets, specify: $ $ $ $ Total Assets $ $ $ $ LIABILITIES & Net Worth OF SHAREHOLDERS' EQUITY (increases are entered on credit side, decreases on debit side) DEBIT CREDIT Accounts Payable $ $ $ $ Mortgages / Deeds of Trust Payable in < 1 year $ $ $ $ Notes, Bonds Payable in < 1 year $ $ $ $ Other current liabilities, specify: $ $ $ $ TOTAL CURRENT LIABILITIES $ $ $ $ Loans from shareholders $ $ $ $ Mortgages/Deeds of Trust Payable in > 1 year $ $ $ $ Notes, Bonds Payable in > 1 year $ $ $ $ Taxes Payable $ $ $ $ Deficiencies, liens, claims, litigations $ $ $ $ Contingent Liabilities $ $ $ $ Other Liabilities or SBA, specify: $ $ $ $ Total Liabilities $ $ $ $ Capital Stock $ $ $ $ Additional paid-in capital $ $ $ $ Retained Earnings $ $ $ $ Adjustment to Shareholders' Equity $ $ $ $ Less Cost of treasury stock $ $ $ $ Shareholders' Equity=Book Value=Net Worth $ $ $ $ Total Liabilities & Net Worth OF SHAREHOLDERS' EQUITY $ $ $ $ STATEMENT OF INCOME AND EXPENSE ACTUAL YEAR ANNUALIZED ACTUAL YEAR TO DATE MOST RECENT 3 YEARS / / through / / / / through / / / / through / / / / through / / GROSS SALES OR REVENUE less returns and allowances $ $ $ $ $ MINUS: COST OF GOODS SOLD $ $ $ $ $ GROSS PROFIT $ $ $ $ $ NET GAIN/LOSS from form 4797, part II, line 18, OR OTHER, specify: $ $ $ $ $ OTHER INCOME (LOSS), specify: $ $ $ $ $ TOTAL INCOME (LOSS) $ $ $ $ $ TOTAL OPERATING EXPENSE DEDUCTIONS on or for federal tax return* $ $ $ $ $ NET OPERATING INCOME (LOSS) = NET PRE-TAX PROFIT = EBT (EARNINGS BEFORE TAXES) $ $ $ $ $ GROSS PROFIT MARGIN, % $ $ $ % OF OPERATING COST/SALES $ $ $ % OF NET OPERATING INCOME/SALES $ $ $ *Compensation of officers, Salaries and wages less employment credits, Repairs and maintenance, Bad debts, Rents, Taxes and licenses, Interest, Depreciation, Depletion, Advertising, Pension, profit-sharing, plans, Employee benefit programs, Other deductions. Owner's Discretionary Cash FLOW(DISCRETIONARY CASH FLOW ADDBACKS AVAILABLE FOR THIS NEW FINANCING, (for period / / through / / (year to date preferred) as will be on tax return or audited or certified statements) 1. Net Operating Pre-Tax Income (Loss) = EBT (Earnings Before Taxes)=Net Profit Before Taxes ADDBACKS : 2. Rent add back portion or all previous rent overcharges that won't be paid after this financing, or subtract for undercharge or no charge amount that will be paid in rent after this new financing)Explain: 3. Interest Expense 4.Depreciation Expense 5. Amortization Expense 6. Extraordinary Expense / Non Recurring, explain: 7. Other Expenses (Describe): 8.Current Owner / Management / Principal(s) Salaries, Perks, Benefits (discretionary or obsolete): A. Owner's Salary B. Other Family Salaries C. Owner's Vehicle D. Owner's Insurance E. Owner's Medical F. Owner's Payroll Taxes G. Owner's Travel and Entertainment H. Non-Essential Telephone I. Non-Essential Utilities J. Non-Essential Legal K. Non-Essential Accounting L.Donations, charitable contributions M. Other Building Repairs 8. Total Owner Add Backs (sum of A thru M) 9. Total Net Add Backs to add to Pre-Tax Profit (sum 2 thru 8) 10. EBIDTA, APPLICANT'S DISCRETIONARY CASH FLOW (sum of 1 plus 9). THIS IS THE ACTUAL NET AVAILABLE FOR DEBT SERVICE EBIDTA = EARNINGS BEFORE INTEREST , DEPRECIATION, TAXES, AMORTIZATION, EXTRAORDINARY & DISCRETIONARY OPERATING EXPENSES ANNUALIZED EBIDTA: Owner's / Seller's Discretionary Cash Flow may include: net Operating Pre-Tax Profit or (Loss) plus/minus Verifiable Non-Cash Expenses (Depreciation and/or Amortization); Owner's Salary and Benefits; One Time Non-Recurring or Unusual Expenses; and Non-Essential Expenses. Assume that the business will be sold or transferred to a new owner who may not incur the same discretionary expenses (example: insurance for owner and family members, interest and insurance on non-essential vehicles, convention trips, travel and entertainment, donations, and other non-essential expenses). An Owner's/Seller's Discretionary Cash Flow Analysis should be completed for the last three years and the most recent interim period. If the company is growing dynamically, projections may need to be provided. If you or the business own the facilities housing the business, a rent adjustment should be made if the rent will increase or decrease after this financing.Rent should be comparable to lease rates for comparable space and location. Previous Next Property Information Location of Collateral Property: Address: * City: * County: State/Province: * Select One Zip Code: Country: Select One Select One Please describe the location of the property: Select One Select One And Select One Description of the Property: Story high Select One Select One Select One Select One If other, Please Specify: Plus Select One Containing approximately Leaseable Square Select One with a current occupancy rate of % With Select One And Select One , Plus Parking spaces, which was built in approximately (year) and last renovated in (year) . What is the vacancy percentage rate plus percentage collection loss in the property location? Select One % Property Plot Size: X Select One Existing Building Occupies: X Select One Assessed Valuation: (by taxation authority) Section #Block #Lot # Land $ Total: $ (Tax Class: Tax Period (Date Range): Tax Rate=%) Is this an investment grade credit tenant leased or owned Property ? Look at this list to see. No Yes If Yes, indicate exact tenant name, credit rating and non-cancelable expiration date: Amenities: (Please select all that apply) If other, please specify: (enter the number of each type) Studio Units Baths Approx. Sq. Ft. of each unit 1 Bedroom Units Baths Approx. Sq. Ft. of each unit 2 Bedroom Units Baths Approx. Sq. Ft. of each unit 3 Bedroom Units Baths Approx. Sq. Ft. of each unit 4 Bedroom Units Baths Approx. Sq. Ft. of each unit Note: If you have photos of the property, in digital format, please e-mail them to us at LichtensteinRE@aol.com. Income & Expense: Income & Expense of the Property: click here and fill out ITEMIZED INCOME & EXPENSE REPORT if you want to accelerate the loan process Jan 1 - Dec 312022 Jan 1 - Dec 312023 Actual Year to Date January 1 through Projected Annualized Cashflow for 2025 Income from Other Property Income: Operating Expenses: * Self managed ? Yes No Yes No Yes No Yes No Management Fee* $ % $ % $ % $ % * dollar amount in the corresponding period or percent of EGI Property Questionnaire : (Part 1) What is the condition of property ? Select One Describe Best Attribute of Property & Location: Proximity to mass transportation and Proximity to nicest local landmarks which are . Indicate the estimated number of violations on the property Does the property have a conforming certificate of occupancy? Yes No If not, explain: Do you have an Environmental Report?: Yes No Date of Environmental Report (mm/dd/yy): Do you have a Structural/Engineering Report?: Yes No Date of Structural/Engineering Report (mm/dd/yy): If you know of any environmental,structural or engineering concerns, please explain: Property Questionnaire : (Part 1) How many improvements has the property undergone ? (Each improvement will have a separate line in the next form to calculate the approximate amount of money put into the property) Property Questionnaire : (Part 2) Do any of the tenants have a right to purchase the property ? Yes No If yes, please explain the terms: Do any of the non-residential commercial tenants have a right of cancellation ? Yes No If yes, please explain the terms: Property Questionnaire : (Part 2) How many principals have an interest in the property ? How many of these principals have an interest of 10% or greater? (Each principal will have to submit a personal financial statement) Principal(s) Information If you have any special requirements, concerns , issues or problems, please tell us about them, so we may better serve you. Multi Family Rent Roll Unit Counter Apartment/Unit Identifier Monthly Rent Tenant Name (First, Last) as it appears on lease Size of Unit Apartment Lease Expiration Date # of Rooms # Bedrooms # of Baths, Approx. Square Footage 1 $ 2 $ 3 $ 4 $ 5 $ 6 $ 7 $ 8 $ 9 $ 10 $ Monthly Total $ Annual Total $ Rental rates compared to market rates in my area: Select One Is this a governmentally rent stabilized or rent controlled property? Select One Yes No If Yes, are the leases and rents ALL properly registered. If not, give explanation: Previous Next Previous Next Previous Next Previous Next Previous Next Previous Next Previous Next Previous Next
