Requester Information
Your name:
Your email address:
Your phone number:
Site Information
Site name:
Site address:
City State, Zip
Site Use
Building Size (SQFT)
Parcel Size (Acre)
Construction Year
Loan Information
Job Number:
Loan Amount:
LTV%:
Closing Date:
New Loan:
YES
NO
YES
NO
Borrowers Questions
Do you know if an environmental assessment such as a Phase I has
been completed for the property?
Are you aware of any industrial or manufacturing operations conducted
at the site or abutters?
Are you aware of any regulated substances generated, stored, or
handled at the site or abutters?
Are you aware of any releases of regulated substances or other
hazardous materials at the site or abutters?
Are you aware of any past or present contamination or sources of
contamination at the site or abutters?
Are you aware of any underground storage tanks (USTs) located at the
site or abutters?
Are you aware of the presence of lead paint, asbestos or PCBs at the
site?
Do you know if the site or site operations has been the subject of any
environmental citations, claims, complaints, violations or notices of
non-compliance issued by any environmental agency?
Do you know if the site or site operations require the issuance of any
environmental permits or the filing of any environmental notifications
with any environmental agency?
Borrower
Date
SBA ACTION ANALYSIS QUESTIONNAIRE