Community Financing & Retailer Application - Cascade · Completed and Signed Community Financing &...

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Community Financing & Retailer Application Dear Community Owner, Thank you for your interest in doing business with Cascade Financial Services. Please submit your completed package with all required documents listed below for review and approval. Completed and Signed Community Financing & Retailer Application (attached) Resumes for Owners, Principle Officers, and/or General Managers with ownership of 10% or greater. Completed and signed IRS Form W-9 (attached) Signed Authorization to release information (attached) Copy of all required State and Federal Licenses to include Contractors and/or Builders Financials – *Business Tax Returns for previous 2 years *Current quarter interim financials – Balance sheet and P&L statement Insurance – *Copy of General Liability Insurance (declarations section only) w/agent info–name & phone # or Certificate of Liability Insurance form *Bond coverage for business license Certificate of Authority or Certificate of Good Standing from the State Department of Corporations dated not more than 60 days old. Feel free to call with any questions. We look forward to working with you! Mail, fax, or email your completed packet to: Jennifer Marinello Chattel Financing Coordinator Southwest Stage Funding, LLC dba Cascade Financial Services dba Cascade Land Home Financing (DE, OR, PA, WA) 3345 S. Val Vista Dr, Suite 300, Gilbert, AZ 85297 Phone: 877.869.7082 ext 3357, Fax: 480.539.4915 [email protected]

Transcript of Community Financing & Retailer Application - Cascade · Completed and Signed Community Financing &...

Community Financing & Retailer Application Dear Community Owner, Thank you for your interest in doing business with Cascade Financial Services. Please submit your completed package with all required documents listed below for review and approval.

Completed and Signed Community Financing & Retailer Application (attached) Resumes for Owners, Principle Officers, and/or General Managers with ownership of

10% or greater. Completed and signed IRS Form W-9 (attached) Signed Authorization to release information (attached) Copy of all required State and Federal Licenses to include Contractors and/or Builders Financials –

*Business Tax Returns for previous 2 years *Current quarter interim financials – Balance sheet and P&L statement

Insurance – *Copy of General Liability Insurance (declarations section only) w/agent info–name & phone # or Certificate of Liability Insurance form *Bond coverage for business license

Certificate of Authority or Certificate of Good Standing from the State Department of Corporations dated not more than 60 days old.

Feel free to call with any questions. We look forward to working with you! Mail, fax, or email your completed packet to: Jennifer Marinello Chattel Financing Coordinator Southwest Stage Funding, LLC dba Cascade Financial Services dba Cascade Land Home Financing (DE, OR, PA, WA) 3345 S. Val Vista Dr, Suite 300, Gilbert, AZ 85297 Phone: 877.869.7082 ext 3357, Fax: 480.539.4915 [email protected]

Community Financing & Retailer Application

Community Name: _____________________________________________________________

DBA (if applicable): ____________________________________________________________

Street: ______________________________ City: _____________ State: ___ Zip: __________

Mailing: ____________________________ City: _____________ State: ___ Zip: __________

Phone: __________________ Fax: ________________ Email: _________________________

Contact Person: ______________________________ Title: ____________________________

Web Site: _________________________________________

Type of Business: or Other ____________

List all additional community locations – include street address, city, state, zip code (use

additional page if needed) 1) ________________________________________________________________________________________________________________ 2) ________________________________________________________________________________________________________________ 3) ________________________________________________________________________________________________________________

Company Filing Information

Date Established: _____________ County: _________________________ State: ___________

Federal Tax ID or Social Security #: _______________________________________________

How long have you owned the community: __________________________________________

Principals/Owners

Owner 1: ___________________________________ Title: ____________________________ Date of Birth: _______________ SS #: _____________________ Percent Owned: _____% Home Address: ______________________ City: ____________ State: ____ Zip: __________ Owner 2: ___________________________________ Title: ____________________________ Date of Birth: _______________ SS #: _____________________ Percent Owned: _____% Home Address: ______________________ City: ____________ State: ____ Zip: __________ Owner 3: ___________________________________ Title: ____________________________ Date of Birth: _______________ SS #: _____________________ Percent Owned: _____% Home Address: ______________________ City: ____________ State: ____ Zip: __________

*Please provide separate sheet for all info above if necessary*

Related Business Does your company, or any person employed by your company, hold ownership or have any interest in another related business? A related business may include, but is not limited to, insurance, escrow, realty, appraiser, builder or contractor. Related Business Name:_______________________________ Phone: ___________________

Owner: ____________________________Type Of Business: __________________________

Street: _________________________ City: ________________ State: ____ Zip: __________

Related Business Name:_______________________________ Phone: ___________________

Owner: ____________________________Type Of Business: __________________________

Street: _________________________ City: ________________ State: ____ Zip: __________

*Please Provide Separate Sheet for Additional Related Business Entities*

**Additional information may be required.**

Disclosure/Due Diligence 1) Has your company and/or principals or corporate offices, been named as defendant in a lawsuit and/or criminal proceedings/complaint/conviction for alleged fraud or misrepresentation in connection with any real estate related activity? 2) Has your company and/or principals ever been involved or is currently involved in any litigation? 3) Has your company and/or principals or corporate officers, filed for protection from creditors under any provision of the bankruptcy laws within the past seven (7) years? 4) Has your company and/or principals or corporate officers, ever had business or professional license suspended, revoked, or received any other disciplinary action from a regulatory agency?

**Attach a separate sheet with an explanation if you answered “Yes” to any of the questions above**

Business Credit References

Banking Reference: ______________________________ Contact Name:_________________

Type of Account (s): ___________________________________________________________

Address: _____________________________________________ Phone: _________________

Fax: __________________ Email: _____________________ Length of Relationship: _______

Flooring Reference: ______________________________ Contact Name:_________________

Address: _____________________________________________ Phone: _________________

Fax: __________________ Email: _____________________ Length of Relationship: _______

General Contractor/Bus. Reference: _____________________ Contact Name:______________

Address: _____________________________________________ Phone: _________________

Fax: __________________ Email: _____________________ Length of Relationship: _______

Customer Reference on a purchased home:

Borrower Name: ______________________________________________________________

Address: ________________________ Phone: ______________ Email: _________________

Customer Reference on a purchased home:

Borrower Name: ______________________________________________________________

Address: ________________________ Phone: ______________ Email: _________________

*To expedite the application process, you may submit letters of recommendation from

Banking, Flooring and Business Credit References*

Authorization to Release Information

I/We hereby certify that the information contained on this Community Financing and Retailer Application and any accompanying or supporting information is true and correct. I/We authorize Southwest Stage Funding LLC dba Cascade Financial Services (dba Cascade Land Home Financing in DE, OR, PA & WA) to obtain verification of any information contained herein from any source named or any other source including credit bureaus and business references. This includes, but is not limited to, employment history, income, and credit history.

**To be signed by all owners with 10% or greater interest in the company**

Signature: _____________________________________ Date: ________________________

Print Name: ____________________________________ Title: ________________________

Signature: _____________________________________ Date: ________________________

Print Name: ____________________________________ Title: ________________________

Signature: _____________________________________ Date: ________________________

Print Name: ____________________________________ Title: ________________________

Signature: _____________________________________ Date: ________________________

Print Name: ____________________________________ Title: ________________________

Signature: _____________________________________ Date: ________________________

Print Name: ____________________________________ Title: ________________________