Loan Application Form

Loan Application Form

Provide your details, employment and income information, loan request specifics, and confirm consent before signing.
Please provide complete and accurate information for all applicable sections of this commercial loan application.
Commercial Loan Application
Business Information
Business Legal Name
DBA (Doing Business As)
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Entity Type
Tax ID (EIN)
Year Established
Ownership Structure
Owners and Ownership Percentages
Business Description
Industry
Ownership Details
Loan Request
Requested Loan Type
Requested Loan Amount
Intended Use of Proceeds
Financial Information (Last 3 Years)
Existing Business Debt
Banking Relationships
Annual Gross Revenue - Most Recent Year
Annual Gross Revenue - Prior Year 1
Annual Gross Revenue - Prior Year 2
Net Income - Most Recent Year
Net Income - Prior Year 1
Net Income - Prior Year 2
Accounts Receivable Total
Accounts Payable Total
Business Assets
Real Estate Owned
Number of Employees
Business Insurance
Collateral
Collateral Offered
Bankruptcy or Litigation History
If yes, explain bankruptcy or litigation history
Guarantor Information
Guarantor Full Name

First NameLast Name
Relationship to Business
Guarantor SSN or Tax ID
Guarantor Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Guarantor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Guarantor Email
example@example.com
Percentage Guaranteed
Document Uploads
Upload Federal Tax Returns (last 3 years)

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Upload Financial Statements

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Upload Bank Statements (last 3 months)

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Upload Business Licenses

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Upload Organizational Documents

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Electronic Signature
Applicant Certifications
Legal Disclosures
Authorization to Obtain Credit Reports
Electronic Signature
Signature Date

MonthDayYear
Date
Full Name

First NameLast Name
Date of Birth

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

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Employment Status
Employer Name
Annual Income (USD)
Loan Amount Requested (USD)
Loan Purpose
Desired Loan Term (Years)
Applicant Signature
Should be Empty:

Loan Application Form

Commercial Loan Application

Business Information

Ownership Details

Loan Request

Financial Information (Last 3 Years)

Collateral

Guarantor Information

Document Uploads

Electronic Signature

Legal Disclosures