Pre-Screening Checklist Screening checklist for relating to the funding: * Deal Name Borrower Name * Jurisdiction of the Borrower * Guarantors Name (If applicbale) Jurisdiction of the Guarantors Purpose of the funding required * Currency * Euro US Dollar GB Pound Other Total Project Cost * Funding Required * How will the shortfall be covered (if applicable) Type of Funding Required * Debt Equity Combination of Debt & Equity If there is a split between Debt & Equity, at what point does the Equity funding requirement kick in? Is the Business Plan / Pitch Deck complete? * Yes In Progress No Capital Repayment Profile (if known) Interest Payment Profile (if known) Security/Collateral * Projected Revenue Streams for the first 5 years * Please insert Revenue per year for the first 5 years Person Completing the document * First Name Last Name Email * Phone (###) ### #### Thank you! We will be in touch.
