Cut & paste this entire panel.

Email completed pages to: ben.secs@usa.net (subject line "BTF Enquiry")

PROJECT TITLE:______________________________________.

PRELIMINARY INFORMATION - Preferred Initial Enquiry Format.

Loan Requested:

Capital Sum: USD. __________________ Term: _______ Months / Years

Indicative Interest Rate: 5.5% per annum - payable semi-annually in arrears

Loan Applicant & Contractor:

Full Name, address, web site and contact information for both parties:

Main Directors/Partners History/Track Record:

Confirmation of Liquidity of 10% of the Capital Loan Sum:

Is this to be provided by the Applicant? If not then who by?

If available, please provide a bank statement or letter of confirmation from a bank or government department.

If the documentation is not in English, please provide am English translation.

Loan Guarantor:

Outline terms of any Municipal/State/Sovereign Guarantee

Project Outline:

Brief description of the project. No more than 500 words please.

Project Financials:

Capital Loan Amount: USD_________________

Excluding deferred interest

(____________________________________ United States Dollars)

Loan Term: _____________ years / months

Initial Amount: Year/Qtr/Month __: $ ___________________

Second Amount: Year/Qtr/Month __: $ ___________________

Third Amount: Year/Qtr/Month __: $ ___________________

Add in further years, quarters or months, as required

Final Amount Year/Qtr/Month __: $ ___________________

Special Requirements:

Estimated Capital Repayment Schedule:

(Estimated) Year __: $ ___________________

Year __: $ ___________________

Add in further years as required

Final Year __: $ ___________________

Interest Deferment Required:

Interest Payments to commence ______________ year/Qtr/month.

Special Requirements:

Exit Strategy (Source of Repayment Funds):

Please include a summarised, consolidated, annualised, cash-flow estimate for the entire loan period.

Additional Information: