Business Loan Application

  • If you need to stop to gather information, be sure to save your work by going to the bottom of this form and "Save and Continue Later". When completed "Submit".
  • Business Applicaton

  • Date Format: MM slash DD slash YYYY
  • General Information

  • Date Format: MM slash DD slash YYYY
  • Employment statusHours per Week 
    Self employed • Employed by some else • Full-time Homemaker • Unemployed - Add as many as applicable
  • Business Experience

    Please describe each type of experience below, describe what you did and for how long (Months/Years).
  • Current or Proposed Business Information

  • Date Format: MM slash DD slash YYYY
  • Business Information

  • Owner / StockholderOwner / StockholderOwner / Stockholder 
  • Collateral

  • NameDescriptionValue 
  • Whom Payable/Account #Original AmountOriginal Loan Date (Month/Year)TermInterest RateCurrent Outstanding BalanceCollateral Used 
    List ALL loans
  • Loan Request

  • Please itemize your loan request.
  • Startup $Overhead $Direct costs $ 
    List all that apply
  • Amount $Owner Contribution: 
  • Please indicate if the cost is part of your startup, overhead or direct costs (below).
  • Amont $Other Funding SourcesOther Funding Sources 
  • Machinery & equipment/Supplies $Inventory $Working Capital $Other (describe: Vehicle, Home) 
  • Total Loan Request $Total Projected Costs $ 
  • Total Sales $Total Business Expenses $(Subtract expenses from sales) $Business Profit or Loss $ 
    • Use your responses to the previous question above.
    • Please give the profit or loss before you pay taxes and before you pay yourself a draw.
    • If you are not sure how to determine your total sales and expenses, multiply your average month's sales and expenses by 12.
    • Include totals for the last 12 months or since your business began.
  • Building or Land - Value $Cars or Trucks - Value $Equipment/Materials/Inventory $Business checking $Other Fin Accts $Stocks or Bonds $ 
  • Please speciy item and value $
  • Required Documents for Application:

  • Drop files here or
    Upload federal tax returns for the last three years for each individual referenced in #3 above (or signed extension)
  • Drop files here or
    Upload income statements, balance sheets and tax returns for the last three years for business and affiliates
  • Drop files here or
    Upload statements that are current within ninety (90) days of application filing date
  • Drop files here or
    If you are buying real estate or an on-going business with loan proceeds, please upload a signed Purchase Agreement, including the Seller’s name and contact information
  • Drop files here or
    For construction loans, please upload an estimated cost of the project and statement of source of additional funds. Also, please attach preliminary construction plans as prepared by a qualified, independent third party such as a contractor or architect.
  • This field is for validation purposes and should be left unchanged.
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