COMMERCIAL LOAN APPLICATION

GENERAL QUESTIONS
Are sole owner applying for credit on behalf of your business and are you relying on your own income or assets as a guarantor and the income or assets of another person?
- Yes
- No
Do you rent or own the business property?
- Rent
- Own
Do you have any outstanding Merchant Cash Advances?*
- Yes
- No
Do you have any other outstanding business/personal loans guaranteed by business*
- Yes
- No
If YES of last to either of the last two questions, see Outstanding Loans Section Below
LEGAL ENTITY
COMPANY INFORMATION
Legal Company Name
DBA
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Industry Type*
State of Incorporation / Organization*
Annual Gross Business*
Average Bank Balance*
Monthly Credit Card Volume*
Funding Amount Requested*
Date
Desired Maturity Date
Company Phone Number
Direct Dial Number
Business Mobile Number
Corporate Tax ID Number
Business Website
Business Email

OWNER 1 INFORMATION
Name
First Middle Last
Date of Birth
Social Security Number
Home Phone Number
Cell Phone Number
Alternate Phone Number
Fax Number
Home Physical Address
Street Address Address Line 2 City State ZIP Code

No P.O. Box
Title Owner
Other Owner
- Yes
- No
FICO Score
Personal Email Address
Owner 2 Information
Name
First Middle Last
Date of Birth
Email Address
Social Security Number
Home Phone Number
Cell Phone Number
Alternate Phone Number
Fax Number
Home Physical Address
Street Address Address Line 2 City State ZIP Code

NO P.O. BOX
Other Owner
- Yes
- No
FICO Score
Personal Email Address
Owner 3 Information
Name
First Middle Last
Date of Birth
Social Security Number
Home Phone Number
Cell Phone Number
Alternate Phone Number
Fax Number
Home Physical Address
Street Address Address Line 2 City State ZIP Code
Titile / Owner
Other Owner
- Yes
- No
FICO Score
Email Address
Collateral - Mortgage / Auto / Equipment 1
Type of Collateral
Original Value
Current Value
Age
Debt
Percentage Owned
Collateral - Mortgage / Auto / Equipment 2
Type of Collateral
Original Value
Number
Current Value
Age
Debt
Percentage Owned
Collateral - Mortgage / Auto / Equipment 3
Type of Collateral
Original Value
Current Value
Age
Debt
Personal Email

GENERAL QUESTIONS