Business Loan Information Form

Business Information

How much are you looking to borrow?

What is the purpose of Loan? Working Capital Equipment Purchase Real Estate Acquisition Construction Business Acquisition Debt Refinance Revolving Line of Credit Letter of Credit Other

What type of business are you applying for? Sole Proprietor Partnership Corporation LLC Cooperative (Co-op) Franchise Nonprofit Organization

When did your business start operating? What was your revenue last year? What was your revenue the previous year? What was your average account balance over the last 3 months? Number of Employees

Business Information

Business Name Business Tax ID Number (with hyphen) NAICS Code Street Address City State Zip Code

Complete the following for persons owning 20% or more of the business:

Owner

Owner Name Email Address Phone Number Street Address City State Zip Code Percentage of Ownership (Example: 25%)

Next Steps

Thank you for your interest in First Utah Bank and for submitting the above information. All details provided will be securely forwarded to our Business Lending team. Please expect to receive a phone call from a First Utah Bank loan officer within one business day. If the loan officer is unable to reach you by phone, they will email you with instructions on how to contact them at your convenience. Please feel free to reach out to us at 801.308.2265 or email customersupport@firstutahbank.com with any questions you may have.