This inquiry consists of two parts, both of which must be submitted in order for Pacific Capital Bank to accurately assess your inquiry. Please note: Pacific Capital Bank lends in California, Arizona, Texas, Oregon and Washington.
Part 1: Please complete the form below and fax it to (818) 865-3232. Part 2: Fax current Profit & Loss Historical Information.
Part 1: Basic Information
*Required Fields
	Mr. Mrs. Ms.
*Your Name:
*Phone Number:
*E-mail Address:
*Loan amount:	$
*State:	California Arizona Texas Oregon Washington
Purchase
Sales Price:	$
Cash Down:	$
Source of Down-payment:
Refinance
Date Acquired:	/ / (mm / dd / yyyy)
Original Cost:	$
1st TD Amount:	$
Other Financing:	$
If cash-out, state purpose:
Commercial Property Information
Property Type:	Retail Industrial Self Storage Other
Total Square Feet:
Net Rentable Square Feet:
Vacant Square Feet:
Historical Occupancy:
Year Built/Rehabilitated:
Construction Type:
Lease Type:	NNN Modified Gross Gross
General Condition:	Excellent Good Fair
Property Income
Income
Annual Rents:	$
Reimbursements:	$
Total Gross Income:	$
Expenses
Taxes:	$
Insurance:	$
Management:	$
Utilities:	$
CAM:	$
Other:	$
Total Expenses:	$
Net Operating Income:	$
How did you hear about Pacific Capital Bank?
Please choose an option Print Ad Internet Search Personal Reference Existing Relationship Other  If other/or PCB contact:
Please print out this form and fax it to (818) 865-3232.

Part 2: Profit & Loss Historical Information

Please fax a current rent roll for 2 years plus year-to-date operating history. Fax to "E-lending" at (818) 865-3232.