Fowler State Bank

Commercial / Business Loan Applications

 

Company Information:

Other Locations:
# of employees:
Full Time:
Part time:
Year Business Established:

Entity Type:

Non-Profit
Sole Proprietorship
General Partnership
Limited Partnership
LLC
C-Corporation
S Corporation

Industry:

Agricultural
Business
Manufacturing
Professional Services
Retail
Wholesale
Other

How will you Grow?

Acquisition/Merger
General Econ Growth
New Employees
New Market
New Product Line
Other

Yes No
 

Management/Ownership Information

Owner:
Title:
Ownership:

%
Decision Maker: Yes No Industry Experience: yrs
Actively Involved: Yes No
Owner:
Title:
Ownership:

%
Decision Maker: Yes No Industry Experience: yrs
Actively Involved: Yes No
Owner:
Title:
Ownership:

%
Decision Maker: Yes No Industry Experience: yrs
Actively Involved: Yes No
Owner:
Title:
Ownership:

%
Decision Maker: Yes No Industry Experience: yrs
Actively Involved: Yes No
Owner:
Title:
Ownership:

%
Decision Maker: Yes No Industry Experience: yrs
Actively Involved: Yes No

Name of Bank:
Satisfaction:
High
Avg.
Low
Current Outstanding Loans:
Line $
Loan $
Lease $
Real Estate $
Other
Deposit Needs:
Std Checking
Analysis
Swoop
Money Market
Branch Location:

What could your bank be doing for you?
What's important in your banking relationship?

Credit Request

Credit Line Amount:
Collateral:
Use of Funds:
Term Loan Amount:
Collateral:
Use of Funds:
Real Estate Amount:
Collateral:
Use of Funds:
Other Amount:
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
If yes, please provide owners name:
Company:
Ownership %:
Has the borrower or co-borrower used or done business under any other names? Yes No
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-US Citizen? Yes No
If yes, please provide name and indicate 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
Please name the business CPA:
Telephone number:
May we contact the CPA? Yes No
Please name your personal CPA:
Telephone number:
May we contact the CPA? Yes No

NOTICE: JOINT CREDIT

We intend to apply for joint credit. Yes No

Signatures

The signer(s) certify that all information provided above is a complete and true statement of the financial condition of the undersigned individuals on the date indicated.  The signer(s) authorizes Fowler State Bank ("Bank") to obtain consumer and/or business reports in their names as individuals at any time and to verify all portions of this financial statement, including all financial statements and federal tax returns, with appropriate sources. The Bank is also authorized to provide credit information about the signer(s) to other creditors and credit reporting agencies. The signer(s) also agrees to provide any further information the Bank may require to process this application

Signer: Date: Signer: Date: