Catalyst Term Loan Application

What is your role in project ?

Project Information

Name of Site

Property Address

Property Street Address

Property City

Property State

Property Zip Code

Contact Information

Your First Name:

Your Last Name:

Your Phone Number:

Your Email Address

Your Company Name

Your Company State

Estimated Project Cost

$

Expected Value of Utility Incentives

$

Est. Loan Amount Request

$

Building Profile

Proposed Scope of Work

Upload Scope (if available)

Number of Units

Number of Floors

Gross Square Footage

Description of Additional Structures, If any:

Energy Profile

Heating System Type:

Fuel Type:

Heating Supplier:

Heating Supplier Account #:

Enter one account only

Electrical Supplier:

Electrical Supplier Account #:

Enter one account only

Water Supplier:

Water Supplier Account #:

Enter one account only

Tenant Information

Do tenants pay for their electricity

YesNo

Do tenants pay for their heating?

YesNo

Do tenants pay for their cooking gas?

YesNo

Addition Questions

Has a utility letter confirming approved incentives been received to-date?

YesNo

Are you interested in additional improvements for this property?

YesNo

If Yes, please describe:

How did you hear about the Catalyst Term Loan?

Acknowledgement

I understand that acceptance of this application does not represent a commitment to lend or create any legally enforceable obligation for Inclusive Prosperity Capital.

IPC will not share any information with third parties except as needed to obtain owner-requested financing.

Applicant's Signature

Contact Information