Loan Application (Short Form)
Applicant Information
Name of Business
Years in Business
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Classification
Please Select
LLC
Proprietor
Partnership
Corporation
Non-profit
Organization
Government
Business Email
example@example.com
Phone Number
-
Area Code
Phone Number
Nature of Business
Name of Person Representative
Position
Personal Credit Score
+700
700-670
670-600
600-550
-550
Loan Information
Loan Amount
Loan/Credit Term
Please Select
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
Type of Loan
Business Line of Credit
Commercial Property
Working Capital
Fix and Flip
Equipment Financing
Rental loan
Bridge Loan
Construction
Other
Purpose of your Loan
Income Summary
Total Assets
Total Liabilities
Total Networth
Annual Income
Annual Expenses
Annual Cashflow
I/We hereby affirm this application for loan or credit as specified above in this application form, on behalf of the business applicant. The information specified above provided are true and correct to the best of my/our knowledge and with no intention to commit acts of misrepresentation. No addition or omission has been made which may lead to acts of fraud or any form of impropriety. I/We agree that the Lender is authorized to conduct any form of investigation in order to verify and confirm our declarations and requests, including, but not limited to conduct any investigation of my/our credit standing. Provided that with given notice, Lender may disclose financial information of our account to any another lender or parties interested to the information which may be needed for disclosure in relevance to credit investigation.
Signature
Name
Date Signed
-
Month
-
Day
Year
Date
Submit
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