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Church Evaluation Form

We are providing a form that allows us to pre-evaluate churches a little more quickly.
Please complete ALL information.
CURRENT INFORMATION
YOUR EMAIL ADDRESS:
CHURCH NAME:
ADDRESS:
MAILING ADDRESS: EMAIL/WEBSITE:
CITY: STATE:        ZIP:
MINISTER/PASTOR: PHONE:
CHURCH PHONE: TELEPHONE(other):
 
CHURCH HISTORY
Date Church was organized:  Date Church was incorporated: 
Affiliation(s): 
20 20 20 20
Ave Sun Attendance:
Total Membership:
(*represents the first months of year.)
 
FINANCIAL DATA
Loan Amount Requested: $
Purpose of Loan: 
ATTACH FINANCIAL STMTS      20*      20      20      20
NORMAL, RECURRING
TITHES & CONTRIBUTIONS

$*

$

$

$
CAPITAL GIFT OR SPECIAL
CONTRIBUTIONS

$*

$

$

$
INTEREST INCOME $* $ $ $
TOTAL INCOME $* $ $ $
*Represents how many months of year?   Months of current year.)
EXISTING LOAN AMOUNTS:
(Loans exceeding one year) $ mo/pmt $
$ mo/pmt $
ESTIMATED or APPRAISED VALUE OF COLLATERAL TO BE PLEDGED $
SIGNATURE:   TITLE:   DATE: