American Midwest
 

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What?

Amount of loan requested:
 (required)
 Type of Loan:
Acquisition Price, (if applicable):
 Will the property require renovation?
Yes No
Type of collateral:
 Quanity:          
Height of Building (Stories):  Number of Buildings:
Land Area: Type of Construction:
Size of Building:
Gross Sq. Ft.:
Net Sq. Ft.:    		Age of Building                
(# of Yrs. or Yr. built):   
Type of Ownership Entity:

Where?

City:
 State:
Zip Code:
 Metro Area:
Market Description:

Who?

Name:
(required)		 Address:
City:
 State:
Zip Code:
 Metro Area:
Position:
 Phone #:
(required)
Fax #:
 Email Address:
(required)

How?

Net Operating Income - Recent Period:
 Effective Gross Income:
Expenses:
 Appraisal:
Environmental Concerns:

Why?

Reason For Loan:

36 Four Seasons Center, Suite 336 St. Louis, MO  63017   Phone:  800-707-2699  Fax:   314-878-7755
4515 Madison, Suite 200  Kansas City, MO  64111  Phone:  800-707-0045   Fax:  816-751-0543