Commercial Loan Application

Business Information

Company Legal Name Doing Business As Federal Tax ID DUNS Number Website URL

Business Type Sole Proprietor Corporation Partnership LLC Non-Profit Other

Business Type Street Address City State Zip Code Mailing address is different than street address. Mailing Address City State Zip Code

Designated Company Contact (DCC) Information

Is the DCC a decision maker? Yes No

First Name Last Name Business Phone Number Business Fax Number E-mail Address Please do NOT email me important news and updates.

Business Details

Date of Establishment

Industry Agricultural Retail Business Wholesale Manufacturing Professional Services Other

Industry Description Describe the products and/or services this company provides. Number of Full Time Employees Number of Part Time Employees Total Number of Employees

How does the business grow? Acquisition/Merger General Econ Growth New Employees New Market New Product Line Other

Explain

How are the products sold? Direct Mail Inside Sales Force Manufacturer Rep/Distributor Outside Sales Force Telemarketing Other

Explain

Is the business subject to a regulatory agency? Yes No

Please Explain

Did you have any government or international sales? Yes No

Please Explain

Are sales seasonal? Yes No

Please Explain

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

Owner First Name Owner Last Name Owner Title Ownership Percentage Years of Industry Experience

Is this person a decision maker? Yes No

Is this person actively involved? Yes No

Banking Information

Name of Bank Branch Address City State Zip Code

Rate your satisfaction. High Average Low

What are your deposit needs? Standard Checking Sweep Account Money Market

What could your bank be doing for you, that it isn't currently? What's important in your banking relationship?

Outstanding Loans

Loan

Loan Type Outstanding Amount

Credit Request

Credit

Credit Type Amount Collateral Use of Funds Please Select a Loan Officer

General Information

Do any of the owners listed on this application have an ownership, interest or continual liability in another company? Yes No

Full Name Company Name Ownership Percentage

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 to any of the previous, please provide the following.

Full 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

Business CPA Full Name Phone Number

May we contact the CPA Yes No

Personal CPA Full Name Phone Number

During the course of reviewing a loan application, we will request your credit report and credit score from the major credit bureaus. All three national credit bureaus have ‘event-based trigger’ programs, which identify you to be in the market for new credit in the near-term based on certain changes in your credit profile. In this case, the fact that you are applying for a mortgage may indicate that you are likely to be shopping for a mortgage. Other lenders purchase this information and will contact you quickly in an attempt to win your business before you close your loan. Do you wish to allow Peoples Bank to exercise the Opt-Out of lists supplied by Equifax, Experian, Innovis and TransUnion for firm offers of credit or insurance?

Yes No

Reference

First Name Last Name Contact Phone Number Mailing Address City State Zip Code Reference Type Relationship to Applicant

Endorsement

I certify that all information provided by me herein, including attachments (s) is true, correct and complete. I authorize Peoples 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 Peoples Bank to provide credit information about its credit experience with me to other creditors and credit reporting agencies. I authorize Peoples Bank to obtain address information from the Department of Motor Vehicles and waive the address confidentiality requirements of the State Vehicle Code. I agree to provide any further information the Bank might require to process my application.

Applicant's Signature Date Type the numbers you see above: