Contact Name:

Contact Email:

STATE:

DESCRIPTIVE DATA

1. Types of Alternative Financing Loan Model (Check all that apply)
   Revolving Direct Loan
   Guaranteed Loan
   Interest Rate Buy Down Loan
   Guaranteed/Interest Rate Buy Down Loan
   Other (specify)
   
   
2. Name of Partners
   Lead Agency
   Community Based Organization
   Lending Institutions
   
   

3. Range of Loan Amounts that program generally provides
   Minimum
   Maximum
   
   
4. Interest rates that program generally provides
   Minimum
   Maximum
   
   
5. Repayment terms that program generally provides
   Minimum (in months)
   Maximum (in months)
   
   
6. Loan guarantee requirements
   (Guarantee percentage required by lender to guarantee a loan. For example, if the loan guarantee requirement is that $.50 be reserved for every $1.00 approved in guaranteed loans by the lender, the loan guarantee requirement is 50%. If $1.00 must be reserved for every $1.00 approved in loans by the lender, the loan requirement is 100%.)
   Loan Guarantee Percentage:
   
   
7. Total loan fund capacity as of September 30, 2005
   Total dollars available for closing new loans, including direct loans, guaranteed loans, and interest buy down loans that are non-guaranteed. In the case of guaranteed loans, if your loan guarantee requirement is 50% and you have $1 million available for new loans, your loan capacity could be $2 million. Do not include monies set aside for administrative costs. What is wanted here is an AFP's capacity, not a bank's capacity.
   Loan Fund Capacity:
   
   

8. Outstanding loans, for which the principal was not paid in full, as of Sept 30, 2005.
   Only include direct and guaranteed loans for which the loan program could incur losses. Do not include interest rate buy down only loans. Do not include non-guaranteed low interest loans.
   
   1. Total number of outstanding loans:
   2. Total dollar amount of principal still outstanding:
   
   
   
9. Losses this past year as of September 30, 2005
   
   1. Total dollar amount of net losses (money lost on direct loans and guarantee payouts minus recoveries from collateral).
   2. Number of loans defaulted (90 days past due) as of September 30, 2005.
   3. Total dollar amount of the loans defaulted as of September 30, 2005.
      
      

10. Total loan program expenses this past year
    1. Personnel (staff and consultants):
    2. Other (includes rent, marketing, interest rate buy down costs, other costs):
    3. Net losses (from Question #9):
    4. Total Expenses (Add A - C):
    
    

11. Income this past year as of Sept 30, 2005
    1. Amount of interest income generated from unused loan funds, or invested from unused federal and matching funds:
    2. Amount of interest income from direct loans:
    3. Amount of income generated by fees paid by borrowers:
    4. Other income (grants, donations, please specify):
    5. Total Financial income (Add A -D):
    
    
    
12. New Sources of Funds this year
    Amount of grant monies, other sources for loan capital, operating costs. List Source(s) and Amount(s):
    Source: Amount:
    
    

For those programs that did not enter applicant/borrower data into the UIC system, please answer the following:
13. Applications, as of September 30, 2005
    
    Number of applications received
    
    
14. Loans, as of September 30, 2005
    

    Loan Type	Number	Total Dollar Amount
    A. Direct Loans
    B. Guaranteed Loans
    C. Interest Rate Buy Down Loans
    D. Guaranteed/Interest Rate Buy Down Loans
    E. Non-Guaranteed Low Interest Rate Loans
    Total all Loans (Add A-E)