Commercial Loan Application

Company Legal Name:
Federal Tax ID:
DUNS #:
DBA:
URL/Website:
Business Location:
City:
State:
Zip:
Telephone:
Fax:
Sq Footage:

Own Rent
Mailing Address:
City:
State:
Zip:
Primary Contact:
Title:
Decision Maker:
Yes No
Email:
Direct Telephone:
Cell Phone:

Company Information

What does the company do? (Describe The Products And/Or Services How will you Grow?
Acquisition/Merger General Econ Growth
New Employees New Market
New Product Line Other
 
       
Year Business Established:
Current Owners:
# of employees:
Full Time:
Part time:
 
Entity Type: Industry: Other Locations:
Non-Profit LLC
Sole Proprietorship C Corporation
General Partnership S Corporation
Limited Partnership  
Agricultural Retail
Business Wholesale
Manufacturing Other
Professional Services
 
How are the products sold?
Direct Mail
Inside Sales Force
Manufacturer Rep/Distributor
Outside Sales Force
Telemarketing
Other
Is the business subject to a regulatory agency?
No Yes
Did you have any government or international sales?
No Yes
Are sales seasonal?
No Yes
 
Have you been profitable for the past 3 years?
Yes No
What is the status of the industry?
How many customers do you have?
How are you trending this year?
Who are your top 3 customers?
What are you doing to increase sales?
Who buys your products or services?
What are your projected sales this year?
Why do your customers buy from you?
What payment terms do you offer your customers?
Any foreign customers? (If so, what % of sales?)
What % of sales do your top 3 customers represent?
Who is your competition?
How do you track your industry?
How do you compete against them?

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

Eq. Lease
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 used or done business under any other names? Yes No
Does the borrower hold any assets to user? 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-U.S. Citizen? Yes No
If yes, please provide 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
Please name the business CPA: Telephone:
May we contact the CPA? Yes No
Please name the personal CPA: Telephone:
May we contact the CPA? Yes No

Signatures

The foregoing statement, submitted for the purpose of obtaining credit, is true and correct in every detail and fairly shows my/our financial condition at the time indicated. I/We will give you prompt written notice of any subsequent substantial change in such financial condition occurring before discharge of my/our obligation to you. I/We understand that you will retain this personal financial statement whether or not you approve the credit in connection with which it is submitted. You are authorized to check my/our credit and employment history or any other information contained herein.

THE UNDERSIGNED CERTIFY THAT THE INFORMATION CONTAINED ON THIS FORM HAS BEEN CAREFULLY REVIEWED AND THAT IT IS TRUE AND CORRECT IN ALL ASPECTS.


Signer:
Date:
Signer:
Date: