Commercial Loan Application

Required Fields

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?

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?

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?

Is this person actively involved?

 Add Another Owner

Banking Information

Name of Bank Branch Address City State Zip Code

Rate your satisfaction.

High
Average
Low

What are your deposit needs?

Standard Checking
Analysis
Swoop
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

 Add Another Outstanding Loan

Credit Request

Credit

Credit Type Amount Collateral Use of Funds

 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?

Full Name Company Name Ownership Percentage

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

Does the borrower hold any assets to user?

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.

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?

Business CPA Full Name Phone Number

May we contact the CPA

Personal CPA Full Name Phone Number

Endorsement

I certify that all information provided by me herein, including attachments (s) is true, correct and complete. I authorize United Cumberland 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 United Cumberland Bank to provide credit information about its credit experience with me to other creditors and credit reporting agencies. I authorize United Cumberland 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 United Cumberland Bank might require to process my application.

Applicant's Signature Date Verify your not a robot