HFF CAPITAL - CONTRACT FINANCING INQUIRY

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Contract Financing Inquiry

Company Name:

Company Address:

Years in Business:

Last 12 mo. Revenues (approx.) $:

Your Name:

Title:

Telephone:

Fax:

E-Mail:

How Did You Hear About Us?

If Other:

Name of your customer:

Contract Amount: $

Contract's Profit Margin

Is This Contract Cancelable?

Yes No

Use For Funds Requested:

Project's starting date:

Project's finishing date:

Funds requested for financing: $

...... [You can enter a Min-Max range]

Date funding is required:

Date funds will be re-paid:

Other contracts need funding?

Yes No

Comments:

This form is considered a 'Request for Information' rather than an 'Application for Financing'. There are no commitments of any kind at this point and all information is strictly confidential.

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