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Intake Form for Project Funding

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COMMERCIAL EXECUTIVE SUMMARY / INTAKE FORM FOR PROJECT
FUNDING
By filling out this form, authorization is hereby given to the Facilitator/Lender to verify in any manner it deems appropriate all
info you provide in this form.
CLIENT CONTACT INFORMATION
Borrower’s individual name:
Text
Company legal name:
ARTHUR AVENUE LLC
Name of Entity (LLC, C, or S corp):
Business Address:
1411 Broadway 16th Floor
City / State / Zip:
New York, NY 10018
Cell Phone #:
Email Address:
Website:
DEAL SUMMARY
Amount of financing requested:
80,000,000.00
As-is Value (today’s value)
Purpose of loan:
PROJECT FUNDING
If Purchase of property:
N/A
Purchase price:
Amount of down payment:
Sales contract in place?
Sales contract closing date?
N/A
N/A
N/A
N/A
After repair value (ARV):
N/A
Schedule of use of proceeds:
(if fix & flip rehab, attach excel spread sheet
with scope of work budget)
N/A
If Refi of property:
list all debt(s) & who is owed to:
N/A
PROPERTY DESCRIPTION
Project Name:
N/A
Type of real estate:
N/A
Location of property/address:
N/A
Year of purchase (if refi):
Age of property (if not Vacant Land):
Square footage/acres of property:
Borrower’s total cash spent
on property to date for
improvements/entitlements:
Borrower’s current equity in
Property?
Any special issues, problems, needs
or timing requirement?
Property Cash flowing?
(if so, provide cash flow analysis)
N/A
N/A
N/A
N/A
N/A
N/A
N/A
ADDITIONAL COLLATERAL (IF APPLICABLE)
Property Type:
Address:
N/A
N/A
City / State / Zip:
N/A
Value of Property:
st
1 Lien Balance:
2nd Lien Balance:
N/A
N/A
N/A
INFORMATION ABOUT PROPOSED BORROWER
Borrower’s occupation:
FILM MAKER
Prior project experience:
YES, 35 + YEARS
Net Worth or financial strength
of primary Principals, (excluding
this project, in US Dollars):
Primary Principal’s last 3 years’
average income:
Exit Strategy:
(Please give as much detail as possible:)
What has been done thus far to
secure financing?
THE FILM WILL BE PRODUCED AND THEN
DISTRIBUTED THROUGH A MAJOR DISTRIBUTOR. IN
ADDITION WE WILL UTILIZE PRODUCT PLACEMENT &
TAX REBATES/CREDITS TO SECURE THE FINANCING.
WE HAVE SECURED 20% OF THE BUDGET.
THIS IS A PRELIMEINARY SUMMARY FOR A LOAN OR LINE OF CREDIT FOR PROJECT
FUNDING. THERE IS NO ASSURANCE THAT WE WILL ACCEPT THE TRANSACTION
FOR FURTHER PROCESSING.
*NOTICE: The undersigned understands and acknowledges that this document is being
utilized in connection with an application for a commercial loan.
*NOTICE: This is not a commitment to lend or a guarantee for financing or loan approval on
any loan.
15 MAY 2022
Date: ______________________
Name: ________________________________________________________________
Signature: _____________________________________________________________
Additional Notes or Explanations if desired:
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