Commercial Loan Application

Company Legal Name:
 Federal Tax ID:
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
       
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?
What are your projected sales this year?
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   $
 
 
What could your bank be doing for you?  

Credit Request

Credit Line		 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 signer(s) certify that the above statement and attached supporting schedules, including all financial statements and tax returns, prepared by or for the undersigned are a complete and true statement of the financial condition of the undersigned on the dated indicated.  The signer(s) authorizes eFinancial 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 agree to provide and further information the bank may require to process this application.

Signer:
 Date:
 Signer:
 Date: