PRELIMINARY APPLICATION DATA REQUEST
HEALTH CARE

General

1. Brief description of the corporate entity and any affiliated or related corporate relationships.

2. Brief description of the project, including its purpose, and the facilities to be financed.

3. Schedule of estimated total project cost, including cost of new construction, renovation, professional fees equipment, and refinancing of existing indebtedness.

4. Schedule of sources of funding, including bond proceeds, institution equity, and fund raising (in hand or pledged).

5. Estimated timetable, including general contractor, approval agency, and institutional schedules.

Legal

1. Brief description of existing indebtedness including any restrictions on borrowing, and any encumbrances on property, revenue, or assets of the institution.


Financial

1. Audited financial statements for preceding five years.

2. Utilization statistics for preceding five years.