QUESTIONNAIRE

Welcome to the Park 49 Financing Questionnaire. Please complete the form below so we can properly evaluate your request. Accurate and complete information allows us to respond efficiently and match your transaction with the most suitable capital program.

Financing Questionnaire


Transaction Overview

Please enter the transaction type.

Please enter the requested loan amount.




Borrowing Entity

Please enter the borrowing entity name.



Principal Sponsor

Please enter the sponsor’s full name.

Please enter a valid email address.












Asset

Please enter the property address.



















Source & Representation





Authorization & Signature

This Authorization and Signature Form (the “Form”) is entered into by and between the undersigned party identified below (the “Undersigned”) and Park 49 Inc., a New York corporation with its principal place of business at 300 Park Avenue, 2nd Floor, New York, NY 10022, and its successors, assigns, and affiliates (“Park 49”).

Authorization

The Undersigned hereby authorizes Park 49 to share, disclose, and discuss any information related to this financing request with prospective capital providers, lenders, loan servicers, legal counsel, accounting firms, credit reporting agencies, appraisal companies, title agencies, environmental consultants, and other third parties as Park 49 deems necessary or appropriate to evaluate, structure, or place the request. The Undersigned further authorizes Park 49 to obtain consumer and commercial credit reports (including soft and hard credit pulls) and other financial, background, and reference information from third parties.

This authorization is continuing and shall remain in full force and effect until revoked in writing by the Undersigned and received by Park 49.

Representation

The Undersigned represents and warrants that all information provided in this questionnaire is true, complete, and accurate to the best of the Undersigned’s knowledge and belief. Incomplete, inaccurate, or misleading information may result in the request being declined, delayed, or withdrawn.

No Commitment; Advisory Role

Submission of this Form does not constitute a partnership, joint venture, application for financing, commitment to lend, engagement of Park 49, or any binding agreement. Park 49 acts solely as a placement agent / advisor and is not a lender. Any formal engagement or financing commitment requires separate written documentation executed by the parties.

Governing Law & Electronic Signature

This Form shall be governed by and construed in accordance with the laws of the State of New York, without regard to conflicts of laws principles. Typing one’s full legal name below constitutes a valid electronic signature under the Electronic Signatures in Global and National Commerce Act (E-SIGN) and the New York Electronic Signatures and Records Act, and shall have the same legal effect as an original ink signature.

Please enter the authorized signatory’s name.


Please select the date.

Please type your full legal name as the electronic signature.

Important: Access to and use of these materials do not constitute a partnership agreement, an application for financing, a commitment to lend, or an agreement to retain Park 49’s services. Any further engagement or formal application process requires separate authorization and documentation.