This document contains a preliminary information form for a loan or investment request. It requests contact information for the applicant and details about the project or company seeking funding, including the name of the business and main shareholders, management experience, time seeking capital, type of business, address, credit score, amount and terms of funding requested, intended use of funds, description of collateral and assets, and historical and projected financial statements. The applicant must sign and attach financial statements for the request to be considered.