"Commercial Loan Application Form"

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COMMERCIAL LOAN APPLICATION
CREDIT REQUESTED
Amount Requested
Term of Credit Requested
Loan Type
Credit Request
Applicant Only
Joint With Co-Applicant(s)
We intend to apply for joint credit:
Market Survey
Purpose of Credit Request
App #
Applicant____________ Co-Applicant____________
COMPLETION INSTRUCTIONS FOR APPLICANT
Complete the Applicant information for the first Applicant. Mark the appropriate box to indicate whether the Applicant is applying as a Borrower,
Guarantor, Cosigner, Grantor (of collateral), or Other for a different capacity. If the Applicant is a married individual, he or she may apply for
individual credit. (Do Not complete Marital Status question below if application is for individual unsecured credit)
APPLICANT INFORMATION:
Applicant is a:
Borrower
Guarantor
Cosigner
Grantor
Other_________________
Name of Applicant (Business Name or Last Name if Individual)
Applicant First Name (If individual)
SSN/TIN#
Assumed Business Names (If Any)
Filing Dates
Filing Locations
DBA Name
Check Appropriate Box
Marital Status (If Individual
If you are applying for individual credit and are relying on your own income or assets and not the income or
Borrower)
assets of another person as the basis for repayment of the credit requested, do not complete the section
Married
for marital status.
Unmarried
If you are applying for individual credit, but are relying on income from alimony, child support, or separate
maintenance or on the income or assets of another person as the basis for repayment of the credit
Separated
requested, complete all sections to the extent possible, providing information about the person on whose
alimony, support or maintenance payments or income or assets you are relying.
If you are applying for joint credit with another applicant, complete all sections and attach joint application.
Street Address
City
ST
Zip Code
Phone Number
Mailing Address
City
ST
Zip Code
Principal Office Address (if not listed above)
City
ST
Zip Code
State of Organization
Applicant is:
An Individual
A Proprietorship
A Partnership
A Corporation
Non-Profit
An Association
A Trust
A Gov't Entity
A LLC
SCHEDULE OF COLLATERAL OFFERED BY THIS APPLICANT
Ownership Status for This
Description
Value
Total Liens
Applicant
Creditor Name
$
Purchase Money
Presently Owned
$
Purchase Money
Presently Owned
$
Purchase Money
Presently Owned
$
Purchase Money
Presently Owned
$
Purchase Money
Presently Owned
$
Purchase Money
Presently Owned
Use Additional Sheet if Necessary
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COMMERCIAL LOAN APPLICATION
CREDIT REQUESTED
Amount Requested
Term of Credit Requested
Loan Type
Credit Request
Applicant Only
Joint With Co-Applicant(s)
We intend to apply for joint credit:
Market Survey
Purpose of Credit Request
App #
Applicant____________ Co-Applicant____________
COMPLETION INSTRUCTIONS FOR APPLICANT
Complete the Applicant information for the first Applicant. Mark the appropriate box to indicate whether the Applicant is applying as a Borrower,
Guarantor, Cosigner, Grantor (of collateral), or Other for a different capacity. If the Applicant is a married individual, he or she may apply for
individual credit. (Do Not complete Marital Status question below if application is for individual unsecured credit)
APPLICANT INFORMATION:
Applicant is a:
Borrower
Guarantor
Cosigner
Grantor
Other_________________
Name of Applicant (Business Name or Last Name if Individual)
Applicant First Name (If individual)
SSN/TIN#
Assumed Business Names (If Any)
Filing Dates
Filing Locations
DBA Name
Check Appropriate Box
Marital Status (If Individual
If you are applying for individual credit and are relying on your own income or assets and not the income or
Borrower)
assets of another person as the basis for repayment of the credit requested, do not complete the section
Married
for marital status.
Unmarried
If you are applying for individual credit, but are relying on income from alimony, child support, or separate
maintenance or on the income or assets of another person as the basis for repayment of the credit
Separated
requested, complete all sections to the extent possible, providing information about the person on whose
alimony, support or maintenance payments or income or assets you are relying.
If you are applying for joint credit with another applicant, complete all sections and attach joint application.
Street Address
City
ST
Zip Code
Phone Number
Mailing Address
City
ST
Zip Code
Principal Office Address (if not listed above)
City
ST
Zip Code
State of Organization
Applicant is:
An Individual
A Proprietorship
A Partnership
A Corporation
Non-Profit
An Association
A Trust
A Gov't Entity
A LLC
SCHEDULE OF COLLATERAL OFFERED BY THIS APPLICANT
Ownership Status for This
Description
Value
Total Liens
Applicant
Creditor Name
$
Purchase Money
Presently Owned
$
Purchase Money
Presently Owned
$
Purchase Money
Presently Owned
$
Purchase Money
Presently Owned
$
Purchase Money
Presently Owned
$
Purchase Money
Presently Owned
Use Additional Sheet if Necessary
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SCHEDULE OF ASSETS
Description
Value
Subject to Debt
Total:
$
Use Additional Sheet if Necessary
SCHEDULE OF LIABILITIES
Description
Type
Current Balance
Total:
$
Use Additional Sheet if Necessary
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SCHEDULE OF EXPENSES
Description
Type
Amount
Per
Annualized Total:
$
Use Additional Sheets If Necessary
INCOME SCHEDULE
Alimony, Child Support or Separate Maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this
obligation.
Description
Type
Annualized Amount
Annualized Total:
$
Use Additional Sheets If Necessary
FINANCIAL AND INCOME STATEMENT SUMMARY
$
$
Total Assets:
Total Annual Income:
$
$
Total Liabilities:
Total Annual Expenses:
$
$
Net Worth:
Net Annual Cash Flow:
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RELATIONSHIP INFORMATION - APPLICANT'S HISTORY WITH LENDER
New Customer
Customer Since(MM-YYYY):
Last Financial Statement Date(MM-DD-YYYY):
Existing Customer
Last Tax Return Date on File(YYYY):
Last Credit Report Date(MM-DD-YYYY):
Last Credit Bureau:
Liabilities with Lender
Deposits with Lender
Total Credit With Lender
Direct:
$
DDA Avg: $
New Credit: $
Contingent: $
Other Avg: $
Proposed Total: $
Total:
$
Total Avg: $
SIGNERS FOR THIS APPLICANT
Name
Title
Authorized SSN #
Street Address
City
ST
Zip Code
Phone Number
Name
Title
Authorized SSN #
Street Address
City
ST
Zip Code
Phone Number
Name
Title
Authorized SSN #
Street Address
City
ST
Zip Code
Phone Number
Name
Title
Authorized SSN #
Street Address
City
ST
Zip Code
Phone Number
Name
Title
Authorized SSN #
Street Address
City
ST
Zip Code
Phone Number
Name
Title
Authorized SSN #
Street Address
City
ST
Zip Code
Phone Number
Use Additional Sheet If Necessary
APPLICANT SIGNATURES
I/We hereby apply for the loan or credit described in this application on behalf of the applicant business.
I/We certify that I/we made no
misrepresentation in this loan application or in any related documents, that all information is true and complete, and that I/we did not omit any
important information. I/We agree that any property securing the loan or credit will not be used for any illegal or restricted purpose. Lender is
authorized to verify with other parties and to make any investigation of my/our credit, either directly or through any agency employed by the Lender
for that purpose. Lender may disclose to any other interested parties information as to Lender's experiences or transactions with my/our account.
I/We understand that Lender will retain this application and any other credit information Lender receives, even if no loan or credit is granted. These
representations and authorizations extend not only to Lender, but also to any insurer of the loan and to any investor to whom Lender may sell all or
any part of the loan. I/We further authorize Lender to provide any such insurer or investor any information and documentation that they may request
with respect to my/our application, credit or loan.
APPLICANT:
By: _______________________________________________
By: _______________________________________________
By: _______________________________________________
By: _______________________________________________
By: _______________________________________________
By: _______________________________________________
Use Additional Sheet If Necessary
FOR LENDER'S USE ONLY
Officer No. / Name
Approved By
Concurrence By (If Needed)
Committee Date
Decision Date
Branch
Application Date
Application No.
Commitment No.
Loan No.
3
Mortgage Loan Originator Unique Identifier, if applicable:
Mortgage Loan Origination Company Identifier, if applicable:
Decision and Comments:
Approved
Denied
Incomplete
Counteroffer
Conditional Approval
Withdrawal
Other: _______ ______
LASER PRO Lending, Ver. 5.53.10.003 Copr. Harland Financial Solutions, Inc. 1997, 2010.
All Rights Reserved.
- F:\CFINEW\CFI\LPL\CCTXCOAP.FC
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