PARTNERSHIPS MUST FILL OUT THIS PAGE                  Page 3

NAME OF PARTNERSHIP: ______________________________________________________________________

BUSINESS ADDRESS: __________________________________________________________________________

PHONE NUMBER: (_____) __________________           GENERAL OR LIMITED PARTNERSHIP: ______________

EMPLOYER I.D. NUMBER: __________________           NUMBER OF YEARS IN BUSINESS: __________________

LIST INFORMATION FOR ALL PARTNERS, INCLUDING TITLES.  IF A LIMITED PARTNER, PLEASE INDICATE:

NAME (& TITLE):  ____________________________________________________________________________

ADDRESS: __________________________________________________________________________________

PHONE NUMBER: (_____) __________________           SOCIAL SECURITY NO.: __________________________

NAME (& TITLE):  ____________________________________________________________________________

ADDRESS: __________________________________________________________________________________

PHONE NUMBER: (_____) __________________           SOCIAL SECURITY NO.: __________________________

NAME (& TITLE):  ____________________________________________________________________________

ADDRESS: __________________________________________________________________________________

PHONE NUMBER: (_____) __________________           SOCIAL SECURITY NO.: __________________________

ARE THERE ANY UNSATISFIED JUDGEMENTS AGAINST YOU?      YES _________     NO__________

HAVE YOU EVER DELCLARED BANKRUPTCY?                           YES__________    NO __________

AMOUNT OF CREDIT REQUESTED:  ____________________       COST OF PROJECT:  ____________________

DO YOU PLAN TO GET A BANK LOAN? ___________________________________________________________ 

IF YES, NAME OF BANK ______________________________________________

LOAN OFFICER: __________________________________            PHONE NUMBER: (_____) ________________