15%
Credit Requested - Total Funds Needed:
Your down payment or available funds:
Term of Credit Request
Loan Type
Loan Purpose
Property Type:
Subject Property Full Address:
Name of Business:
Address:
City
State
Zip
Website:
EIN:
Date Established
Owner Since:
Business Structure
Individual
Sole Proprietorship
General Partnership
Limited Liability Company LLC
LLC Partnership
Limited Partnership
Unincorporated Association
Unincorporated Organization
Corporation
C- Corp
S- Corp
Other
Owner/Guarantor Information: Full Name
SSN:
Title
DOB:
% Ownership
Address
City
State
Zip
Best Phone #
Email:
Must be a valid emaill address
2nd Owner/Guarantor Full Name
SSN:
Title
DOB:
%Ownership
Address:
City
State
Zip
Best Phone #
Email:
Has the business changed names in the last 5 years?
Yes
No
Has the business relocated from one county to another in past 5 years?
Yes
No
Is the business for sale or under agreement that would change the ownership of the business?
Yes
No
Do you have a up to date business plan?
Yes
No
Has the business for any principal /owner ever declared bankruptcy?
Yes
No
Are you a Marijuana related business?
Yes
No
Are there any delinquent state of federal taxes owed by the business?
Yes
No
Signature: You can type in your signature
Date:
Name of your Commercial Loan Consultant
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