CRD-M02 (09/10)

CRD-M02 (09/10)

CRD-M02 (09/10)

To: To's Address: Borrowers Name: Cooperative Project name: Property Address and Unit Number: Requestor Name: Requestor Title: Requestor Company Name: Requestor Address: Requestor Telephone Number: Units Sold in Last Year: Commercial Units: OffUnit description1: Unit Description2: Issued Shares: Control over Cooperative: OffSales Concessions: OffConcessions1: Concessions2: Concessions3: Facilities Leased: OffLeased1: Leased2: Leased3: Tax Abatements: OffTerm of Abatement1: Term of Abatement2: Term of Abatement3: Stock Transfer Fee: OffFee Description1: Fee Description2: Delinquency: Single Entity: OffSingle Entity Description1: Single Entity Description2: Single Entity Description3: Other Project Blanket Financing: Lien Type - First: Lien Type - Second: Lien Type - Other: Mortgage Balance - First: Mortgage Balance - Second: Mortgage Balance - Other: Balloon Mortgage - First: Balloon Mortgage - Second: Balloon Mortgage - Other: Remaining Term - First: Remaining Term - Second: Remaining Term - Other: Monthly Payment - First: Monthly Payment - Second: Monthly Payment - Other: Interest Rate - First: Interest Rate - Second: Interest Rate - Other: Fixed/Variable Rate - First: Fixed/Variable Rate - Second: Fixed/Variable Rate - Other: Lienholder - First: Lienholder - Second: Lienholder - Other: Owner Occupied # of units: Owner Occupied % project: Sponsor Developer - Vacant # of units: Sponsor/Developer - Vacant % project: Sponsor Market Rent # of units: Sponsor Market Rent % project: Sponsor Regulated Rent # of units: Sponsor regulated rent % project: investor vacant # of units: investor vacant % project: investor market rent # of units: investor market rent % project: investor regulated rent # of units: investor regulated rent % project: Total # of units: Total % of project: Authorized Rep: OffAuthorized Rep Description: Name of Authorized Rep: Name of Organization: Address of Authorized Rep: Telephone Number of Authorized Rep: Date for Authorized Rep: Project Name: Address or Location: City: State: Zip: Year: Budget below is for: OffPhase Number: Office expenses: Telephone: Admin Expenses Office Salaries Itemized: Office Salaries: Admin Expenses Mgmt Fee (Name of Mgmt Firm): Mgmt Fee: Legal and Audit: Sum of Admin Expenses: Fuel: Utilities Gas: Utilities Electricity: Utilities Water & Sewer: Utilities: 0Trash & Garbage Removal: Exterminating: Supplies: Decorating: Cleaning Expenses: Snow Removal: Building Maintenance & Repairs: Elevator Maintenance and Repairs: HVAC: Pool Maint: Parking Areas: Private Street Maint: Gardening: Other (specify): Other: Salaries1: Salaries2: Salaries3: Salaries Expense1: Total Expenses: Real Estate Taxes: Other Taxes: 0Licenses: Insurance Premiums: Ground Rent: Recreational or other facilities rental: Sum of Fixed Expenses: Regime Fees: Taxes: Assessments: Total Annual Expenses and Replacement Reserves: 0Item 1: Item 1 estimated life: Item Replace Cost: Item 1 average yearly cost: Item 2: Item 2 estimated life: Item Replace Cost 2: Item 2 average yearly cost: Item 3: Item 3 estimated life: Item Replace Cost 3: Item 3 average yearly cost: Item 4: Item 4 estimated life: Item Replace Cost 4: Item 4 average yearly cost: Item 5: Item 5 estimated life: Item Replace Cost 5: Item 5 average yearly cost: Item 6: Item 6 estimated life: Item Replace Cost 6: Item 6 average yearly cost: Item 7: Item 7 estimated life: Item Replace Cost 7: Item 7 average yearly cost: Item 8: Item 8 estimated life: Item Replace Cost 8: Item 8 average yearly cost: Item 9: Item 9 estimated life: Item Replace Cost 9: Item 9 average yearly cost: Total Replacement Reserves: Condo/PUD Charges: Org Certified by title: Other Projected Annual Income: Total Projected Annual Income: 0Itemize Other Income: Itemize Other Income2: Discuss deficit 1: Discuss deficit 2: Discuss Deficit 3: Actual funds for payment of operating expenses: Actual funds in replacement reserve: Number of owners over 30 days: Special Assessment charges: Any indebt 1: Any indebt 2: Any indebt 3: Certified Correct Org: Certified By: Title of Certifier: Exception 1: Exception 2: Exception 3: Exception 4: Exception 5: Year certified: Org Certifying: Org Certified By: Month/Day: Date Certified: Year 2: Gross Annual Income Condo/PUD charges: Number of units: Charges Income: Other income (itemized): Itemized Other Income: Total Income From All Sources: Office expenses2: Telephone2: Office Salaries Itemized2: Office Salaries2: Name of Mgmt Firm w/fee: Mgmt Fee2: Legal & Audit2: Sum of Admin Expenses2: Fuel2: Utilities Gas2: Utilities Electricity2: Utilities Water & Sewer2: Sum of Utilities2: 0Trash & Garbage Removal2: Exterminating2: Supplies2: Sum of Operating Expenses: Decorating2: Cleaning Expenses2: Snow Removal2: Building Maint & Repair2: Elevator Maint & Repair: HVAC Maint & Repair2: Pool Maint & Repair2: Parking area Maint & Repair2: Private Street Maint & Repair2: Gardening2: replacement itemize2a: Total Annual Net Surplus2: 0replacement itemize2b: replacement itemize2c: replacement itemize2d: replacement itemize expense2: Other itemize2a: Other itemize2b: Other itemize2c: Other itemize2d: Other expense2: Salaries itemize2a: Salaries itemize2b: Salaries itemize2c: Salaries expense2: Real Estate taxes2: Other taxes or assessments2: Licenses2: Insurance premiums2: Ground rent2: Recreational or other facilities rental2: Sum Fixed Expenses2: Total Expenses2: Disposition2a: Date2: Disposition2b: Disposition2c: Disposition2d: Inspection explanation2a: Inspection explanation2b: Inspection explanation2c: Inspection explanation2d: Inspection explanation2e: Inspection explanation2f: Inspection explanation2g: Inspection explanation2h: Organization2: Title2: By2: