Business Loan Application

BUSINESS LOAN APPLICATION
Business Name
Phone Number
Please enter a valid phone number.
Applicant's Name*
Home Phone*
Please enter a valid phone number.
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Please list all principals of the business:
Name
Position
Name
Position
Name
Position
Please complete and submit a personal financial statements from each of the principals including applicant.*Please note additional supporting documentation specific to the loan will be required.

Cancelof

If yes, how many do you project?

If yes, how many do you project?

Please list items or use of funds:

Total Amount Requested
Have you been declined by a bank? Yes No If yes, which Bank? Bank name
Reason for decline: type reason
Please note: An application fee of 1% of the total amount requested will be charged for all approved loans. Other charges may apply, such as a $25 charge for a credit report, $25 for filling each UCC, $25 for an amendment to a vehicle title and $205 to file a mortgage. These costs can be paid at closing or rolled into the loan itself. Please talk to your loan program coordinator for more information.

Collateral Information
Please identify those business or personal assets available to secure the loan, which you are requesting:
Accounts Receivable: Value $
Insured? YES NO Date: Date (attach aging report)
Inventory: Total current value: $ (attach itemization)

Equipment

Real Estate

Savings Accounts/CDs:

Vehicle(s)

BUSINESS LOAN APPLICATION