MORTGAGE LOAN APPLICATION



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CHURCH EXTENSION FUND, INC. Central Illinois District LCMS 1850 N Grand Avenue West, Springfield, IL 62702 E-mail: cef@cidlcms.org Website: www.cid-lcms.org MORTGAGE LOAN APPLICATION Greetings in the Name of our Lord and Savior, Jesus Christ! Attached is The Church Extension Fund (CEF) Loan Application which should be completed and returned to CEF for submittal to the Board of Trustees for their approval. PLEASE NOTE: When the aggregate of loans for any congregation will exceed $1,500,000.00, approval must be obtained from the Special Loan Committee or District Convention. This may affect the timing of your application. Mortgage loans may be made for a maximum of 25 years. At the present time the established rate of interest is 5.875%. Congregations requesting loans from the Fund are currently requested to raise supporting investments amounting to 25% of the loan. The Church Extension Fund reserves the right to revise the interest rate at the end of each two-year term of the loan. This is particularly important if we are to continue to offer the most favorable rates to our investors. Prepayments are encouraged and may be made without penalty. It is the borrower s responsibility to pay filing fees and the cost of title insurance only. These costs may be included as part of the loan or paid as incurred. The needs of mission stations and subsidized congregations will receive priority consideration, but, to the extent that money is available; the needs of self-supporting congregations will be met. All congregations are encouraged, on the basis of good stewardship, to take advantage of the comparatively low cost of financing through The Church Extension Fund. As always, please do not hesitate to contact our office if you have any questions relating to this loan process.

CHURCH EXENSION FUND, INC. CENTRAL ILLINOIS DISTRICT-LCMS 1850 North Grand Avenue West, Springfield, IL 62702-1626 Phone: 217/793-1802 Fax: 217/793-9454 E-mail: cef@cidlcms.org Website: www.cid-lcms.org MORTGAGE LOAN APPLICATION (OTHER THAN PARSONAGE LOANS) AMOUNT OF LOAN REQUEST: TERM REQUESTED: 25 YEARS PURPOSE (check one): DATE: TYPE: 2 YEAR ADJUSTABLE RATE MORTGAGE Construction Purchase Remodeling Other Briefly describe purpose of loan: GENERAL INFORMATION: Type of Corporation: Not-for-Profit Religious CONGREGATION: STREET ADDRESS: MAILING ADDRESS: CITY: COUNTY: ZIP: FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN) - CHURCH TELEPHONE #: FAX#: NAME OF PASTOR: NAME OF CONTACT FOR THIS APPLICATION: HOME TELEPHONE #: OFFICE TELEPHONE #: WHERE ARE SERVICES CURRENTLY BEING HELD? TOTAL NUMBER OF VOTING MEMBERS: NUMBER PRESENT AT MEETING WHEN PROJECT WAS APPROVED: NUMBER FOR PROJECT: AGAINST PROJECT: PLEASE ANSWER THE FOLLOWING FOR CONSTRUCTION/PURCHASE OF NEW FACILITIES: PROPERTY ADDRESS: LOT SIZE: LOCATION: Urban Suburban Rural LAND USE AND ZONING OF SURROUNDING AREA: Residential Commercial Industrial Agricultural Other ZONING OF CHURCH PROPERTY: Residential Commercial Industrial Agricultural Other

EMPLOYMENT STABILITY OF COMMUNITY IN WHICH PARISH IS LOCATED: Good Average Fair Poor AVAILABITIY OF UTILITIES: Electricity Gas Water Sewer WAS AN APPRAISAL MADE OF THE PROPERTY? YES-AMOUNT NO POPULATION: COMMUNITY COUNTY POPULATION GROWTH: % LAST DECADE %ANTICIPATED IN NEXT DECADE NUMBER OF LUTHERAN CHURCHES IN AREA: DISTANCE TO CLOSEST LCMS CHURCH: HAS THIS PROJECT BEEN DISCUSSED WITH AREA LCMS CHURCHES: YES OR NO MEMBERSHIP CURRENT LAST YR 2YRS AGO BAPTIZED: COMMUNICANTS: MEMBERSHIP CHANGES: GAINS: YOUTH CONFIRMED ADULTS CONFIRMED TRANSFERS IN TOTAL GAINS LOSSES: DEATHS TRANSFERS OUT REMOVALS, RELEASES, OTHER TOTAL LOSSES AVERAGE ATTENDANCE: SUNDAY SERVICES BIBLE CLASS-ADULT BIBLE CLASS-YOUTH SUNDAY SCHOOL DAY SCHOOL INFORMATION CURRENT LAST YR 2 YRS AGO ENROLLMENT CURRENT INFORMATION: # OF GRADES (e.g. P THRU 4 OR K-8, ETC) # OF FULL-TIME EQUIVALENT PROFESSIONAL WORKERS: % STUDENTS THAT ARE MEMBERS OF THIS CONGREGATION:

DAY SCHOOL INFORMATION (continued) CURRENT LAST YR 2 YRS AGO % OF ELIGIBLE CONGREGATIONAL ENROLLED DAY SCHOOL: PROJECTED FUTURE GROWTH- ADDITIONAL STUDENTS NEXT YR: ADDITIONAL STUDENTS IN 2 YRS: PROFILE OF MEMBERSHIP IN AGE RANGES: # OF MEMBERS NOW AGES 0 4 YEARS AGES 5-9 YEARS AGES 10-14 YEARS AGES 15-19 YEARS AGES 20-29 YEARS AGES 30-39 YEARS AGES 40-59 YEARS AGES 60-69 YEARS AGES 70-79 YEARS AGES 80 AND OVER TOTAL MEMBERS NOW FINANCIAL HISTORY INCOME CURRENT LAST YR 2 YRS AGO CONTRIBUTIONS SUBSIDY GIFTS, BEQUESTS SALE OF ASSETS DAY SCHOOL TUITION OTHER TOTAL INCOME EXPENSES CURRENT LAST YR 2 YRS AGO OPERATING EXPENSES DEBT SERVICE DAY SCHOOL EXPENSES DISTRICT/SYNOD SUPPORT OTHER TOTAL EXPENSES NET OPERATING BALANCE GAIN (LOSS) OPERATING ACCOUNT BALANCE Building Fund Balance

FAMILY CONTRIBUTIONS PROFILE PLEDGE PROFILE Level of Contribution: Level of Contribution: # of FAMILIES # OF FAMILIES $ 0 to $ 500 $ 501 to $ 1,000 $ 1,001 to $ 2,000 $ 2,001 to $ 3,000 $ 3,001 to $ 4,000 $ 4,001 to $ 5,000 $ 5,001 to $ 10,000 $ 10,001 AND OVER PROJECTED FINANCIAL GROWTH INCOME 1 YEAR FROM NOW 2 YEARS FROM NOW CONTRIBUTIONS SUBSIDY GIFTS, BEQUESTS SALE OF ASSETS DAY SCHOOL TUITION OTHER TOTAL INCOME EXPENSES OPERATING EXPENSES DEBT SERVICE DAY SCHOOL EXPENSES DISTRICT/SYNOD SUPPORT OTHER TOTAL EXPENSES NET OPERATING BALANCE GAIN (LOSS) BUILDING FUND PLEDGE PROGRAM BUILDING FUND TOTAL AMOUNT OF PLEDGED (# of pledging units ) LESS TOTAL FUNDS CONTRIBUTED TO DATE LESS TOTAL PLEDGES ANTICIPATED PRIOR TO PROJECT COMPLETION BALANCE TO BE RECEIVED FOLLOWING COMPLETION TOTAL BALANCE OF PROJECTED PLEDGES BY YEAR: YEAR 1 FOLLOWING PROJECT YEAR 2 FOLLOWING PROJECT YEAR 3 FOLLOWING PROJECT BEGINNING DATE OF PLEDGE PROGRAM: COMPLETION DATE:

FAMILY PLEDGE PROFILE PLEDGE PROFILE Level of Contribution Level of Contribution: # of FAMILIES # OF FAMILIES $ 0 to $ 500 $ 501 to $ 1,000 $ 1,001 to $ 2,000 $ 2,001 to $ 3,000 $ 3,001 to $ 4,000 $ 4,001 to $ 5,000 $ 5,001 to $ 10,000 $ 10,001 AND OVER BUILDING PROJECT BUILDING INFORMATION COST OF BUILDING: Estimate Bid COST OF FURNISHINGS: (Pews, Organ, Etc.) COST OF LAND/SITE: District Other SITE IMPROVEMENTS: (Landscaping, Parking, etc.) ARCHITECT FEES TITLE INSURANCE, LEGAL SURVEY, ETC. CONSTRUCTION LOAN INTEREST PERFORMANCE/PAYMENT BOND TOTAL OF ABOVE CURRENT DEBT TO BE REFINANCED (SOURCE : District Commercial Other) TOTAL BUILDING FUND NEED (A) + (B) LESS: CURRENT BUILDING FUND RECEIPTS TO BE USED PROJECTED PLEDGE CONTRIBUTIONS BY COMPLETION OTHER ANTICIPATED RECEIPTS-SOURCE TOTAL RECEIPTS TO BE APPLIED TO PROJECT (A) (B) (C) (D) NEW LOAN REQUIREMENTS (C) - (D) _ ESTIMATED CONSTRUCTION START DATE: ESTIMATED COMPLETION DATE:

FINANCIAL POSITION EXISTING PHYSICAL FACILITIES OWNED YEAR ORIGINAL PRESENT LOAN PURCHASED COST VALUE BALANCE LAND CHURCH PARSONAGE EDUCATIONAL UNIT OTHER INDEBTEDNESS OWNED TO WHOM LAND: CHURCH: PARSONAGE: EDUCATIONAL UNIT: OTHER: OTHER ASSETS: INVESTMENTS-DESCRIBE VALUE OTHER-DESCRIBE VALUE OTHER DEBT: OPERATING LOANS WITH BALANCE OTHER-DESCRIBE BALANCE CONGREGATION SUPPORTING INVESTMENTS WITH CEF (25% of loan amount requested)

VERIFICATION I/We hereby verify that I/We have reviewed this application and that to the best of my/our knowledge and belief that the information contained herein is true and correct. AUTHORIZED SIGNATURES Name Office Name Office Name Office CERTIFICATE OF CORPORATION SECRETARY I hereby certify that I am the duly qualified and acting Secretary of the above referenced congregation, a corporation duly organized under the laws of the State of Illinois, and as such have custody of the books of said corporation, and that the attached instruments entitled Constitution and Bylaws of said corporation, are as of this date, true, correct and complete copies of said instruments, including all amendments which are now in full force and effect. I hereby also certify that at a lawful meeting of the voters of said congregation held on the day of,, at which a quorum was present, the following resolution was adopted: BE IT HEREBY RESOLVED, that the congregation apply for a loan with the Central Illinois District Church Extension Fund, Inc. in the amount of for the purpose of Secretary Date: