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:
Date of Birth:
 
Direct Telephone:
Cell Phone:
 

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:
 
Purpose:

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 DBA
Agricultural Retail
Business Wholesale
Manufacturing Other
Professional Services
 
Is the business subject to a regulatory agency?
No Yes
Have you been profitable for the past 3 years?
No Yes
Are sales seasonal?
No Yes
 

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
 

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
Accountant: Name: Address: Telephone:
Attorney: Name: Address: Telephone:
Insurance Agent: Name: Address: Telephone:

This section is to be completed to indicate the individual(s) who will sign the Note or guaranty payment.

Do not include the borrowing entity if not an individual.

 
You are applying for an individual account in your own name and are relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested.
 
You are applying for a joint account that you and another person will use. Please initial below to indicate you are applying for joint credit.
We intend to apply for joint credit:   Borrower Co-Borrower Co-Borrower
 
You are applying for an individual account, but are relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as the basis for repayment of the credit requested. Please provide information about the person on whose alimony, support, or maintenance payment or income or assets you are relying.

Information for Government Monitoring Purposes

DO NOT COMPLETE THIS INFORMATION IF THE LOAN IS SECURED BY NON-RESIDENTIAL REAL ESTATE.

NOTE: IF THE BORROWER IS NOT A NATURAL PERSON (e.g. a CORPORATION or a REALTY TRUST), USE "NOT APPLICABLE"

The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may discriminate neither on the basis of this information, nor on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation or surname. If you do not wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.)

Borrower

Not Applicable- Borrower is not a natural person
Borrower I do not wish to furnish this information
Ethnicity Hispanic or Latino Not Hispanic or Latino
Race American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Asian White Black or African American
Sex Female Male

Co-Borrower

Not Applicable- Borrower is not a natural person
Co-Borrower I do not wish to furnish this information
Ethnicity Hispanic or Latino Not Hispanic or Latino
Race American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Asian White Black or African American
Sex Female Male

Certification and Authorization

I/We hereby certify that all information contained above an in exhibits submitted to lender are true and complete to the best knowledge and belief of the applicant(s) and are submitted for the purpose of inducing a loan by the lender to applicant(s). Whether or not the loan herein applied for is approved, the applicant(s) agrees to pay or reimburse lender for lender’s expenses in reviewing this application, including, without limitation, expenses incurred for credit reports, appraisal reports, surveys, title examinations, attorneys’ fees, and the like. I/We authorize the bank and any of its duly authorized agents, to obtain and use credit reports and to exchange credit information in connection with this application and any update, renewal, or extension. Additionally, I/we hereby authorize the bank to obtain our personal credit report(s) and/or to make employment or investigative inquires deemed necessary by the bank in connection with this application. I/We have a right to ask if a consumer credit report was requested, and if it was and if I/we ask, I/we will be informed of the name and address of the consumer reporting agency that furnished the report. I/We understand and agree that the bank can furnish our personal or business information to consumer reporting agencies and to others who may properly receive that information. It is understood that a photocopy or fax of this application will also serve as authorization.

Signer:
Date:
Signer:
Date: