REQUEST FOR ADVANCE OF FUNDS
(All requests received after 3:00 p.m. will be funded the following business day.)

DATE:

Please advance $ from my/our United Bank loan # dated // and deposit proceeds to my/our United Bank account #.

IF PROCEEDS NEED TO BE FURTHER DISBURSED PLEASE INDICATE BELOW:

Deposit $ to my/our account #which is in the name of .

Issue a Cashier’s Check in the amount of $ payable to and indicate me/us as the remitter of the check.

Wire Transfer $ to .

Other:


Authorized Signature
Authorized Signature

Name as it appears on note
Note number

A $30.00 check is attached for the UCC-1 recording fee for the business equipment being purchased with this advance request.

For Bank use only

Commitment Amount $ Review Required: Yes No
Current Balance $
Advance Amount $
Balance available after advance $
Officer Approval
Date