General Information Form Logo
  • General Information Form

    For Ijara USA Commercial Application Form
  • Use this form when applying for amounts of $250,000 or more.

    Trying to apply for a lower amount? Apply for consideration on our website.

  • Loan Request Information

    Please complete all information to avoid delays in processing your application
  • Loan Collateral

    • Subject Property 
    •  - -
    • Additional Property 
    •  - -
    • Subject Property 
    •  - -
    • Additional Property 
    •  - -
    • Section Stopper 
  • Applicant Information

  • AND/OR

  •  - -
  • 0/500
  • Owners Information

    Upon submission of this form, all owners with 20% or more ownership will receive an email invitation to fill out our Personal Financial Statement form as part of the next step in this Commercial application.
    • Owner #1 
    • Owner #2 
    • Owner #3 
    • Owner #4 
    • Owner #5 
    • Owner #6 
    • Owner #7 
    • Owner #8 
    • Owner #9 
    • Owner #10 
  • Disclosure Questions

  • 0/500
  • Business Nature & History

  • 0/750
  • 0/500
  • 0/500
  • 0/500
  • 0/500
  • 0/500
  • 0/500
  • 0/500
  • For Start-Up Businesses or Acquisition of Existing Business

    Attach a complete business plan and three years projections with the first year being month to month. Must also include explanations on projections, source, trends, etc.
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  • Loan Request

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  • 0/500
  • 0/250
  • Review

    • Loan Request Information 
    • Is this application for masjid/non-profit finance? {sec1_appForNP}
    • Application For {sec1_appFor}
    • Purpose of Loan {sec1_loanPurpose}
      Loan Type {sec1_loanType}
      Source of Repayment {sec1_repaymentSrc}
      Amount Requested ${sec1_amtReq}
      Term Requested in Years {sec1_termYears1}{sec1_termYears2}
      Amortization Requested in Years {sec1_amortYears1}{sec1_amortYears2}
    • Loan Collateral 
    • Subject Property
      Type of Property {sec2_prop1_type}
      Estimated Market Value ${sec2_prop1_mktVal}
      Purchase Price ${sec2_prop1_purPrice}
      Date of Purchase {sec2_prop1_purDate}
      Current Lender {sec2_prop1_currLndr}
      Rate {sec2_prop1_rate}%
      Monthly Payment ${sec2_prop1_mnthPmt}
      Current Balance ${sec2_prop1_currBal}
      Property Gross Annual Revenue ${sec2_prop1_annRev}
      Annual Expenses ${sec2_prop1_annExp}
      Number of Tenants {sec2_prop1_tenants}
    • Additional Property
      Type of Property {sec2_prop2_type}
      Estimated Market Value ${sec2_prop2_mktVal}
      Purchase Price ${sec2_prop2_purPrice}
      Date of Purchase {sec2_prop2_purDate}
      Current Lender {sec2_prop2_currLndr}
      Rate {sec2_prop2_rate}%
      Monthly Payment ${sec2_prop2_mnthPmt}
      Current Balance ${sec2_prop2_currBal}
      Property Gross Annual Revenue ${sec2_prop2_annRev}
      Annual Expenses ${sec2_prop2_annExp}
      Number of Tenants {sec2_prop2_tenants}
    • Subject Property
      Type of Property {sec2_prop3_type}
      Will purchaser occupy 51% or more of the property? {sec2_prop3_majOwnOcc}
      Closing Date {sec2_prop3_closeDate}
      Purchase Price ${sec2_prop3_purPrice}
      Current Loans ${sec2_prop3_currLoans}
    • Additional Property
      Type of Property {sec2_prop4_type}
      Closing Date {sec2_prop4_closeDate}
      Purchase Price ${sec2_prop4_purPrice}
      Current Loans ${sec2_prop4_currLoans}
    • Do you have any additional properties? {sec2_hasAddlProps}
    • Applicant Information 
    • Legal Name of Applicant {sec3_appFName} {sec3_appLName}
    • Applying Company {sec3_appCompany}
    • Has your business been established yet? {sec3_coEstablished}
    • DBA {sec3_dba}
      Principle Place of Business (Not P.O. Box) {sec3_placeOfBiz}
      Key Contact Name {sec3_keyContFName} {sec3_keyContLName}
      Business Phone Number {sec3_bizPhone}
      Mobile Number {sec3_bizMobile}
    • Date Business Established {sec3_bizEstDate}
      Current Ownership {sec3_currOwnYears}
      State of Registration {sec3_regState}
      Annual Sales ${sec3_annSales}
      Last Year’s Net Profit ${sec3_prevYearProfit}
      Describe applicant’s product or service {sec3_prodOrService}
      Type of Entity {sec3_entityType}
      Number of Employees {sec3_noEmployees}
    • Email {sec3_email}
      Who does applicant currently do their banking with? {sec3_currBank}
      Is applicant willing to move their banking relationship in conjunction with their loan? {sec3_moveBankRel}
    • Owners Information 
    • Owner #1
      Name {sec4_own1_fName} {sec4_own1_lName}
      Percent Ownership {sec4_own1_percOwn}%
      Title {sec4_own1_title}
      Phone Number {sec4_own1_phone}
    • Email {sec4_own1_email}
    • Owner #2
      Name {sec4_own2_fName} {sec4_own2_lName}
      Percent Ownership {sec4_own2_percOwn}%
      Title {sec4_own2_title}
      Phone Number {sec4_own2_phone}
    • Email {sec4_own2_email}
    • Owner #3
      Name {sec4_own3_fName} {sec4_own3_lName}
      Percent Ownership {sec4_own3_percOwn}%
      Title {sec4_own3_title}
      Phone Number {sec4_own3_phone}
    • Email {sec4_own3_email}
    • Owner #4
      Name {sec4_own4_fName} {sec4_own4_lName}
      Percent Ownership {sec4_own4_percOwn}%
      Title {sec4_own4_title}
      Phone Number {sec4_own4_phone}
    • Email {sec4_own4_email}
    • Owner #5
      Name {sec4_own5_fName} {sec4_own5_lName}
      Percent Ownership {sec4_own5_percOwn}%
      Title {sec4_own5_title}
      Phone Number {sec4_own5_phone}
    • Email {sec4_own5_email}
    • Owner #6
      Name {sec4_own6_fName} {sec4_own6_lName}
      Percent Ownership {sec4_own6_percOwn}%
      Title {sec4_own6_title}
      Phone Number {sec4_own6_phone}
    • Email {sec4_own6_email}
    • Owner #7
      Name {sec4_own7_fName} {sec4_own7_lName}
      Percent Ownership {sec4_own7_percOwn}%
      Title {sec4_own7_title}
      Phone Number {sec4_own7_phone}
    • Email {sec4_own7_email}
    • Owner #8
      Name {sec4_own8_fName} {sec4_own8_lName}
      Percent Ownership {sec4_own8_percOwn}%
      Title {sec4_own8_title}
      Phone Number {sec4_own8_phone}
    • Email {sec4_own8_email}
    • Owner #9
      Name {sec4_own9_fName} {sec4_own9_lName}
      Percent Ownership {sec4_own9_percOwn}%
      Title {sec4_own9_title}
      Phone Number {sec4_own9_phone}
    • Email {sec4_own9_email}
    • Owner #10
      Name {sec4_own10_fName} {sec4_own10_lName}
      Percent Ownership {sec4_own10_percOwn}%
      Title {sec4_own10_title}
      Phone Number {sec4_own10_phone}
    • Email {sec4_own10_email}
    • Disclosure Questions 
    • Settlement Agent Name {sec5_settlAgtName}
      Settlement Agent Phone Number {sec5_settlAgtPhone}
      Insurance Company Phone Number {sec5_insCoPhone}
      Insurance Company Fax Number {sec5_insCoFax}
      Is the seller of the property willing to carry a second trust? {sec5_seller2ndTrust}
      Has the applicant ever declared bankruptcy or had any judgements, repossessions, garnishments, or other legal proceedings filed against them? {sec5_applBankruptcy}
      Is the applicant currently under contract with any other mortgage brokers? {sec5_applUnderContract}
      Are any tax obligations—including payroll or real estate taxes—past due? {sec5_applPastDueTax}
      Is the applicant liable on debts not shown, including any contingent liabilities such as leases, endorsements, guarantees, etc.? {sec5_applDebtLiab}
      Is the applicant currently a defendant in any suit or legal action? {sec5_applDefendant}
    • Please provide an explanation for each question you answered “yes” to on this page. {sec5_disclosureExpl}
    • Business Nature & History 
    • Background and History of Business {sec6_bizBackground}
      Nature of Business, Types of Products/Services {sec6_bizNature}
      Customer Profile/List of Key Customers {sec6_keyCustomers}
      Marketing {sec6_marketing}
      List of Major Competitors {sec6_competitors}
      Major Past Accomplishments {sec6_pastAccompl}
      Future Expansion {sec6_futureExpansion}
      How will this loan benefit your business? {sec6_loanBenefit}
    • For Start-Up Businesses or Acquisition of Existing Business
      Business plan and projections One or more files attached

       

    • Loan Request 
    • Real Estate/Building Acquisition ${sec7_realEstate}
      Land Acquisition ${sec7_landAcq}
      New Construction/Expansion/Repair ${sec7_construction}
      Acquisition and/or Repair of Machinery and Equipment ${sec7_machinery}
      Inventory and Supplies Purchase ${sec7_inventory}
      Working Capital ${sec7_wkngCapital}
      Acquisition of Existing Business ${sec7_bizAcq}
      Refinance Loan ${sec7_refLoan}
      Miscellaneous Closing Fees ${sec7_miscClosing}
      Miscellaneous Fees ${sec7_miscFees}
    • Other
      {sec7_othr1Desc} ${sec7_othr1Amt}
    • {sec7_othr2Desc} ${sec7_othr2Amt}
    • {sec7_othr3Desc} ${sec7_othr3Amt}
    • Include a copy of proposed/executed purchase agreement and copies of all tenant leases if applicable One or more files attached
    • List of Equipment to be Purchased {sec7_purEquip}
      Total Estimated Project Amount ${sec7_ttlProjAmt}
      Equity Injection ${sec7_eqInject}
      Total Loan Requested ${sec7_loanTotal}
      Comments & Explanation for cash/equity injection {sec7_eqInjExpl}
  • Certification & Signature

  • Unless I initial here, the Lender/Broker is hereby authorized to share this application and credit information with its affiliates or other lenders, which may consider my/our application of loan approval/purchase. This statement does not limit the Lender/Broker’s rights to sell or assign any loans to a third party.

  • Authorized Representative Signature: *

  •  - -
  •  
  • Should be Empty: