Commercial Loan Application Form
Applicant Information
Applicant is
Borrower
Consigner
Guarantor
Grantor
Other
Name of Business
Name of Person Representative
Years in Business
Position
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant Status
New Client
Existing Client
Other
Business Classification
Please Select
Proprietor
Partnership
Corporation
Non-profit
Organization
Government
Business Email
example@example.com
Nature of Business
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 Facility
Overdraft
Commercial Property
Industrial Property
Micro Loans
Revolving Credit
Equipment Financing
Other
Purpose of your Loan
Security Details
Assets List
*
Guarantor / Surety
*
Would you like to Apply for a Business Credit Card?
Yes
No
Credit Card Liability Options
Corporate Liability
Joint and Several Liability
Name you would like to appear on the Card
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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