Commercial Loan Application Form

Individual Borrower
Full Name*

First NameLast Name
SSN*
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MarriedUnmarriedSeparated
Other Income Sources: (describe employer, spouse income, etc.)*

Joint Credit
Applicant Information
Applicant Name*

First NameLast Name
Applicant SSN*
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MarriedUnmarriedSeparated
Co-Applicant Information
Co-Applicant Name*

First NameLast Name
Co-Applicant SSN*
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MarriedUnmarriedSeparated

Sole Proprietor (DBA)
Owner Full Name*

First NameLast Name
Owner SSN*
Date of Birth*

MonthDayYear
Date
DBA/Farm Name*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nature of Operation

Entity Information
Legal Business/Farm Name*
DBA/Trade Name
EIN*
State of Formation*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nature of Business/Farming Operation*

Authorized Signer(s)
Owner 1
Name*

First NameLast Name
Title/Role*
Ownership %
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Owner 2
Name*

First NameLast Name
Title/Role*
Ownership %
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Owner 3
Name*

First NameLast Name
Title/Role*
Ownership %
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Owner 4
Name*

First NameLast Name
Title/Role*
Ownership %
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Owner 5
Name*

First NameLast Name
Title/Role*
Ownership %
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com

Guarantor(s)
YesNo
Guarantor 1
Name*

First NameLast Name
SSN*
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guarantor 2
Name*

First NameLast Name
SSN*
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guarantor 3
Name*

First NameLast Name
SSN*
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guarantor 4
Name*

First NameLast Name
SSN*
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guarantor 5
Name*

First NameLast Name
SSN*
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Loan Request
Loan Type*
Other (Please Describe)*
Amount Requested*
Term Requested
Purpose of Loan*
Collateral Offered
YesNo
Notes to Lender

Ag Helper Fields
Acres Farmed
Primary Crops/Livestock
YesNo

Uploads
Financial Statement(s)

Cancelof
Tax Returns (2-3 years)

Cancelof
Interim/YTD Profit & Loss

Cancelof
Ag Schedules/Production History

Cancelof

Agreement & Authorization
I/we certify that the information provided in this application is true, accurate, and complete. The term “I/we” refers to any individual applicant, joint applicants, and/or any person signing on behalf of a business or farm borrower, as applicable. I/we agree to promptly notify Peoples Bank of Kentucky (“the Bank”) of any material change in financial condition. I/we authorize the Bank to obtain and verify credit and financial information about the applicant/borrower and, if applicable, any co-applicant, principals, authorized signers, and guarantors, including consumer and/or commercial credit reports, tax returns, bank references, trade references, and other information as permitted by law. This authorization applies to this online application and throughout the life of any credit relationship and includes information obtained electronically or by any lawful means. I/we authorize the Bank to report credit experience to consumer and/or commercial credit reporting agencies, as applicable, and to exchange credit information with others as permitted by law. If collateral is pledged by a business or entity borrower, I/we authorize the Bank to file UCC financing statement and amendments necessary to perfect and maintain its security interest in such collateral. I/we agree to provide current and future financial statements, tax returns, and other information as reasonably requested during the term of any credit extended. I/we understand that environmental assessments and/or property appraisals may be required and agree to cooperate and, where applicable, pay associated costs. I/we agree to provide identifying information required by federal law and certify that no party to this application is prohibited under OFAC or other applicable regulations. This application does not constitute a commitment to lend. No obligation exists until credit is approved and formal loan documents are executed. By clicking “Submit” and signing electronically, I/we acknowledge that I/we have read agree to these terms, have reviewed and agreed to the Bank’s E-Sign User Agreement & Disclosure, authorize the Bank to obtain and use information as described, and intend to sign this application electronically in my/our individual capacity and/or on behalf of the borrower. This action constitutes a legal electronic signature.
Primary Borrower*

Clear
Title/Role*
Date*

MonthDayYear
Date
Co-Applicant*

Clear
Date*

MonthDayYear
Date
Authorized Signer*

Clear
Title/Role*
Date*

MonthDayYear
Date
Authorized Signer 2*

Clear
Title/Role*
Date*

MonthDayYear
Date
Authorized Signer 3*

Clear
Title/Role*
Date*

MonthDayYear
Date
Authorized Signer 4*

Clear
Title/Role*
Date*

MonthDayYear
Date
Authorized Signer 5*

Clear
Title/Role*
Date*

MonthDayYear
Date
Guarantor*

Clear
Date*

MonthDayYear
Date
Guarantor 2*

Clear
Date*

MonthDayYear
Date
Guarantor 3*

Clear
Date*

MonthDayYear
Date
Guarantor 4*

Clear
Date*

MonthDayYear
Date
Guarantor 5*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Business Loan Application

Individual Borrower

Joint Credit

Applicant Information

Co-Applicant Information

Sole Proprietor (DBA)

Entity Information

Authorized Signer(s)

Owner 1

Owner 2

Owner 3

Owner 4

Owner 5

Guarantor(s)

Guarantor 1

Guarantor 2

Guarantor 3

Guarantor 4

Guarantor 5

Loan Request

Ag Helper Fields

Uploads

Agreement & Authorization