Commercial Loan Application

Are you applying as a Business, Individual or with a Joint Applicant? Business Individual Joint

Business Information

Company Legal Name Doing Business As Federal Tax ID

Business Type Sole Proprietor Corporation Partnership LLC Non-Profit Other

Business Type Street Address City State Zip Code Mailing address is different than street address. Mailing Address City State Zip Code Date of Establishment Describe the products and/or services this company provides. Number of Full Time Employees Number of Part Time Employees Total Number of Employees

Are sales seasonal? Yes No

Please Explain

Applicant

First Name Middle Initial Last Name Suffix Social Security Number Birth Date Home Address City State Zip Code Home Phone Number E-mail Address Please do NOT email me important news and updates.

Applicant

First Name Middle Initial Last Name Suffix Social Security Number Birth Date Home Address City State Zip Code Home Phone Number E-mail Address Please do NOT email me important news and updates.

Joint Applicant

First Name Middle Initial Last Name Suffix Social Security Number Birth Date Home Address City State Zip Code Home Phone Number E-mail Address Please do NOT email me important news and updates.

Management/Ownership Information

Owner

Owner First Name Owner Last Name Owner Title Ownership Percentage Years of Industry Experience Social Security Number Birth Date Home Address City State Zip Code Home Phone Number E-mail Address

Is this person a decision maker? Yes No

Is this person actively involved? Yes No

Guarantor

Name Address Social Security Number Birth Date

Credit Request

Credit

Credit Type Amount Requested Loan Term Collateral Use of Funds

General Information

Do any of the owners listed on this application have an ownership, interest or continual liability in another company? Yes No

Full Name Company Name Ownership Percentage

Has the borrower, co-borrower, owner or guarantor ever been convicted of a felony? Yes No

Is the business an endorser, guarantor, or co-maker for obligations not listed on its financial statements? Yes No

Is the business a party to any claim or lawsuit? Yes No

Has the business ever declared bankruptcy? Yes No

Does the business use hazardous substance in the normal course of business? Yes No

Are any owners a Non-U.S. Citizen? Yes No

If yes to any of the previous, please provide the following.

Full Name Residency Status

Is the applicant, or any officer, Principal or Partner of the applicant currently on the Board of Directors of a Bank, Thrift or S&L? Yes No

Endorsement

I certify that all information provided by me herein, including attachments (s) is true, correct and complete. I authorize First Federal Savings Bank to make whatever inquiries about me you deem necessary and appropriate for the purpose of evaluating my credit, including obtaining credit reports and contacting my employer. I also authorize First Federal Savings Bank to provide credit information about its credit experience with me to other creditors and credit reporting agencies. I authorize the Bank to obtain address information from the Department of Motor Vehicles and waive the address confidentiality requirements of the State Vehicle Code. I agree to provide any further information the Bank might require to process my application.

We intend to apply for joint credit

Applicant's Initials Joint Applicant's Initials

Applicant's Signature Date

Joint Applicant's Signature Date