504 Loan Contact Information

504 Loan Contact Information
Primary Contact Information

Name of Owner, Guarantor, or trusted employee that can receive or see confidential loan information.
Name of Business*

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact's Name*

First NameLast NameSuffix
Primary Contact's Title*

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact's Preferred Mailing Address for Correspondence (including annual statements):*

Street Address Line 1

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Contact's Phone Number*

Area CodePhone Number
Primary Contact's E-mail Address*
Insurance Agent Information
Name of Insurance Agency*

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Agent

First NameLast Name
Insurance Agent's Phone Number

Area CodePhone Number
Insurance Agent's E-mail Address
example@example.com
Bank Information

Since your SBA 504 Loan is in a second lien position, the SBA requires GLCF to verify the status of the senior lien holder (your bank loan) annually.
Name of Bank*

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Lender *

First NameLast Name
Lender's E-mail Address*
example@example.com
Lender's Phone Number*

Area CodePhone Number
Bank's Current Loan Balance*
Bank's Current Monthly Payment*
Is the Loan Current*

YesNo
Signature of Loan Guarantor*

Clear
Should be Empty: