CHURCH PROFILE
And Registration Form
Name of Church__________________________________________________________
Present Address: Street: ____________________________________________________
City: ___________________________ State: _______ Zip: _________
Name of Senior Pastor_____________________________________________________
Principal Church Contact: ________________________ Phone ___________________
Length of Time in Existence (years): _______ Is Church Incorporated Yes ____ No____
Church Membership______ Active Members _______Number of Giving Units ________
Last three (3) years (average) Plate Income $_________ Expenses (annual) $_________
Church Capitalization: Equity ______ Mortgage__________ Other ________________
Funds available as down payment: $____________________________________
Budget amount for monthly payment$____________________
501C3 Cert #____________ Federal I D #___________________
Do you have Capitol Funding /Building Program in place: Yes ______ No __________
Do you have an active Building Program Committee: Yes _____ No _______________
Are you presently working with a Lender Institution Yes ____ No ____
If yes, Name of Lending Institution: __________________________________________
City________________________ State ________ Zip Code ________________
Contact Person: _________________ Telephone # _______________________
Are you presently working with a Real Estate Broker/Agent: Yes _____ No ________
If yes, Name of Broker/Agent: ______________________________________________
Have you chosen a New Church Location: Yes __ No ___ Asking Price $___________
Date you wish to Relocated_________________________________________________
If lender requires, will you and/or members of your Board sign as guarantor, and /or assign your personal real estate as additional security_____________________________
____________________________________________________________ ___________
If you are paying “all cash” please include a confirmation of funds on deposit letter with this form
Please complete information and return to:
Rick Arzet, Associate Broker,
Berkshire Hathaway HomeServices Georgia Properties
3775 Roswell Road, Suite # 200 Email: rarzet@hotmail.com
Marietta, GA 30062
Fax 770- 973- 8826