Competition Commercial Corporation
CCC

Telephone: (732) 738-8808

Corresponding Consultant's Project Registration

Correspondents Only:


Please provide complete information.
Please do not use all Caps in text. Please use Initial Caps

Name of Project:
Consultant's Company Name:
Attention:
Telephone:
Your E-mail address:

rulerline

Request:
Category:

Permanent Financing Construction Loan Venture Capital Humanitarian Grant

Type:

Acquisition 100+% Debt Refi Cash Out Refi Expansion Technology Infrastructure
Other          
You may further state an additional purpose for the request.

Transaction Details

Amount Requested U.S.:

.00  

Term Requested:


(in months)

If this is a loan request, what is the Loan to Value Ratio (LTV):


Anticipated Closing Date

 

Principal Information

Principal Company Name (Must be exact for legal reasons):

Principal Company Country:

Principal Company Address:

Principal Company City:
Principal Company State:
Principal Company Mail Code:
Principal Company Describe Business:

What State is the Business Registered in?

Location

Project's Address:  
Project's City:  
Project's State:  
Project's Zip Code:  
Project's Country:  
Project's County/Province:

Signatories: Usually the CEO, President, Vice President, Secretary, Treasurer will sign.

Primary Signatory for the Project:

Corporate title:

First Name: Surname:

Telephone of Signatory: Fax Number of Signatory: Cell Phone of Signatory:
Residence Phone of Signatory: Email Address of the Signatory:  
 

Other Signatories:

Signatory Individual #2 Full Name:
Signatory Individual #3 Full Name:
Signatory Individual #4 Full Name:

Assets/Liabilities

Assets

Corporate Cash on Hand U.S.: .00
Personal Cash on Hand U.S.: .00
Value of Additional Collateral: .00
Additional Colateral Available (must be free of liens at or prior to or at closing) - Explain:

Debt
Balance of itemized existing liens on the subject (only if refinance or construction):

First Lien:
Amount U.S.: .00
Lien Held by:
2nd Lien:
Amount U.S.: .00
Lien Held by:
Total of Any Other Liens:
Amount U.S.: .00
Lien Held by

Additional Comments about the Project:

If there are other questions or concerns, please add an additional comment above.

rulerline

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Competition Commercial Corporation
All Rights Reserved
Last Updated: