Commercial Loan Application

Loan Officer		Location
Email		Phone
Date Submitted		Loan App. Date
Amount

Type of Loan

Commercial	Mezzanine	Construction
Land	Other

Amount

Number of Months

Amortization Type

Fixed Rate

Adjustable

Other

Type of Business
Name of Business	Type of Business
Business Address
City	State
Zip
Nature of Business	IF PARTNERSHIP IS THERE FORMAL AGREEMENT:	Yes No
Phone	Fax
Email	Year Business was Established
State in which business was Organized	Tax ID
Contact Name	Title
Phone

Property Information & Purpose of Loan

Subject Property Address

City

State

Zip

Sq. Footage

No. of Units

Legal Description of Subject Property

Year Built

Purpose of Loan

Purchase	Construction
Refinance	Construction Permanent	Other

Appraised Value

Property Will Be

Complete This Section if Construction or Construction Permanent Loan
Year Acquired		Orignal Cost
Amount Liens		(a) Present Value of Lot
(b)Cost of Improvement		Total (a b)
Complete This Section if This is a Refinance Loans
Year Acquired		Orignal Cost
Amount Liens		Purpose of Refinance
Describe Improvement		Improvement Cost

Title will be held in what name(s)
Manner in which title will be held		Estate will be held in
Source of Down Payments, Settlement Charges, And/Or Subordinate Financing (explain)

BANK REFERENCES
Bank Name
Business Checking (6Mos/AVG Bal)		Savings (Current Bal)
Loan(s)		Account Number

Bank Name
Business Checking (6Mos/AVG Bal)		Savings (Current Bal)
Loan(s)		Account Number

Bank Name
Business Checking (6Mos/AVG Bal)		Savings (Current Bal)
Loan(s)		Account Number

Bank Name
Business Checking (6Mos/AVG Bal)		Savings (Current Bal)
Loan(s)		Account Number

Bank Name
Business Checking (6Mos/AVG Bal)		Savings (Current Bal)
Loan(s)		Account Number

ADDITIONAL INFORMATION REQUIRED
PLEASE PROVIDE THE FOLLOWING INFORMATION ALONG WITH YOUR COMPLETED APPLICATION SO THE WE CAN BEGIN TO PROCESS YOUR LOAN REQUEST.		Provided
LAST TWO YEARS BUSINESS FINANCIAL STATEMENT OR TAX RETURN
CURRENT PERSONAL FINANCIAL STATEMENT OF ALL OWNERS
LAST TWO YEARS PERSONAL TAX RETURN OF ALL OWNERS
RECENT TAX BILL IF REAL ESTATE IS TO BE PLEDGED AS COLLATERAL
COPY OF APPRAISAL (IF AVAILABLE)
COPY OF ENVIRONMENTAL REPORT (IF AVAILABLE)

AUTHORIZATION AND SIGNATURES
THE INFORMATION YOU PROVIDED ON ALL ACCOMPANYING FINANCIAL STATEMENTS AND SCHEDULES IS PROVIDED FOR THE PURPOSE OF OBTAINING CREDIT FOR THE APPLICANT(S) OR FOR THE PURPOSE OF APPLICANT(S) GUARANTEEING CREDIT FOR OTHERS. APPLICANT(S) ACKNOWLEDGED THAT REPRESENTATION MADE IN THIS STATEMENT WILL BE RELIED UPON BY CREDITORS IN ITS DECISION TO GRANT SUCH CREDIT. THIS STATEMENT IS TRUE AND CORRECT AND ACCURATELY REPRESENTS THE FINANCIAL CONDITION OF THE APPLICANT(S) ON THE DATE GEVEN BELOW. THE CREDITOR IS AUTHORIZED TO MAKE ALL INQUIRIES IT DEEMS NECESSARY TO VERIFY THE ACCURACY OF THE INFORMATION CONTAINED HEREIN AND TO DETERMINE THE CREDITWORTHINESS OF THE APPLICANT(S). THE UNDERSIGNED AUTHORIZE ANY PERSON ON CONSUMER REPORTING AGENCY TO GIVE YOU ANY INFORMATION IT MAY HAVE ON THE UNDERSIGNED. APPLICANT(S) ARE AWARE THAT ANY KNOWING OR WILLFUL FALSE STATEMENT REGARDING THE VALUE OF THE ABOVE PROPERTY FOR PURPOSE OF INFLUENCING THE ACTION OF CREDITOR CAN BE A VIOLATION OF FEDERAL LAWS. APPLICANT(S) FURTHER AUTHORIZE THE BANK TO MAKE SUCH INQUIRIES OF THE VENDORS AS THEY DEEM RESPONSIBLE AND APPROPRIATE. BY SIGNING BELOW, EACH APPLICANT DECLARES THAT HE/SHE HAS READ AND UNDERSTANDS THE STATEMENT ABOVE.
Signature 1	Date 1
Signature 2	Date 2
Signature 3	Date 3
Signature 4	Date 4

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GUARANTOR(S) INFORMATION
Guaranter's Name (include Jr. or Sr. if applicable)		Guaranter's Name (include Jr. or Sr. if applicable)
Social Security Number		Social Security Number
Phone		Phone
Present Address		Present Address
Street		Street
City		City
State		State
Zip		Zip
Own or Rent	Own Rent	Own or Rent	Own Rent
If Rent (No. of Years)		If Rent (No. of Years)
Mailing Address if different than Present Address		Mailing Address if different than Present Address
Street		Street
City		City
State		State
Zip		Zip
Own or Rent	Own Rent	Own or Rent	Own Rent
If Rent (No. of Years)		If Rent (No. of Years)
If residing at present address for less than 2 years complete the following
Former Address if different than Present Address		Former Address if different than Present Address
Street		Street
City		City
State		State
Zip		Zip
Own or Rent	Own Rent	Own or Rent	Own Rent
If Rent (No. of Years)		If Rent (No. of Years)

Guaranter's Name (include Jr. or Sr. if applicable)		Guaranter's Name (include Jr. or Sr. if applicable)
Social Security Number		Social Security Number
Phone		Phone
Present Address		Present Address
Street		Street
City		City
State		State
Zip		Zip
Own or Rent	Own Rent	Own or Rent	Own Rent
If Rent (No. of Years)		If Rent (No. of Years)
Mailing Address if different than Present Address		Mailing Address if different than Present Address
Street		Street
City		City
State		State
Zip		Zip
Own or Rent	Own Rent	Own or Rent	Own Rent
If Rent (No. of Years)		If Rent (No. of Years)
If residing at present address for less than 2 years complete the following
Former Address if different than Present Address		Former Address if different than Present Address
Street		Street
City		City
State		State
Zip		Zip
Own or Rent	Own Rent	Own or Rent	Own Rent
If Rent (No. of Years)		If Rent (No. of Years)
MANAGEMENT INFORMATION
Name		Social Security Number
Home Address
Annual Salary		Title
% of Ownership

Name		Social Security Number
Home Address
Annual Salary		Title
% of Ownership

Name		Social Security Number
Home Address
Annual Salary		Title
% of Ownership

Name		Social Security Number
Home Address
Annual Salary		Title
% of Ownership