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Commercial Loan Information Gathering

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Required Fields

Business Information

Business Type

Designated Company Contact (DCC) Information

Is the DCC a decision maker?

Business Details


How does the business grow?

How are the products sold?

Did you have any government or international sales?

Are sales seasonal?

Have you been profitable for the past 3 years?

Is this business a owner of life insurance policy?

Management/Ownership Information

Owner (please add all owners that has 25% or more ownership.)

Is this person a decision maker?

Is this person actively involved?

Add Another Owner

Banking Information

Rate your satisfaction.

What are your deposit needs?

Outstanding Loans


Add Another Outstanding Loan

Credit Request


Add Another Credit Request

General Information

Do any of the owners listed on this application have an ownership, interest or continual liability in another company?

Has the borrower used or done business under any other names?

Has the borrower, co-borrower, owner or guarantor ever been convicted of a felony?

Is the business an endorser, guarantor, or co-maker for obligations not listed on its financial statements?

Is the business a party to any claim or lawsuit?

Has the business ever declared bankruptcy?

Does the business use hazardous substance in the normal course of business?

Are any owners a Non-U.S. Citizen?

If yes to any of the previous, please provide the following.

Is the applicant, or any officer, Principal or Partner of the applicant currently on the Board of Directors of any Bank, Thrift or S&L?

May we contact the CPA


I certify that all information provided by me herein, including attachments (s) is true, correct and complete. I authorize Pacific Global Bank to make whatever inquiries about me you deem necessary and appropriate for the purpose of evaluating my credit, including obtaining credit reports and contacting my employer. I also authorize Pacific Global Bank to provide credit information about its credit experience with me to other creditors and credit reporting agencies. I authorize the Bank to obtain credit report from credit agency. I agree to provide any further information the Bank might require to process my application.